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Participant Baseline Survey and Consent Form

IC 276094 under ICR 202507-1290-001 · OMB unassigned.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Other-Survey
Other-Survey
IC Document
IC Document
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Information Collection (IC) Details

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Participant Baseline Survey and Consent Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey T2-2025-06 SCC4_Appendix B. Participant baseline survey and consent form_Spa_12.16.25_Clean.docx https://www.SCCNationalEval.com/Baseline Yes Yes Fillable Fileable
Other-Survey T2-2025-06 SCC4_Appendix A. Participant baseline survey and consent form_Eng_12.16.25_Clean.docx https://www.SCCNationalEval.com/Baseline Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

2,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Participant Study Intake Staff FAQ T2-2025-06 SCC4_Appendix C. Participant Study Intake Staff FAQ_6-11 to DOL 7.11.25.docx 07/16/2025
Participant random assignment notification_Eng_6-11 T2-2025-06 SCC4_Appendix O. Participant random assignment notification_Eng_6-11 to DOL 7.11.25.docx 07/16/2025
T2-2025-06 SCC4_Appendix O. Participant random assignment notification_Spa_6-11 T2-2025-06 SCC4_Appendix P. Participant random assignment notification_Spa_6-11 to DOL 7.11.25.docx 07/16/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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