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National Worker Survey - RDS Sample Screener Only
National Worker Survey
OMB:
IC ID: 277795
OMB.report
OS
ICR 202509-1290-001
IC 277795
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Worker Survey - RDS Sample Screener Only
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
Attachment A Worker Survey_012126.docx
http://www.national-worker-survey.com/
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
148
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
148
0
-5,924
6,072
0
0
Annual IC Time Burden (Hours)
12
0
-494
506
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Worker Survey Contact Materials
Attachment B Worker Survey Contact Materials_012126.docx
01/22/2026
National Worker Survey - Simplified Chinese
Attachment A National Worker Survey_12.3.24_Simplified Chinese.docx
02/27/2026
National Worker Survey - Spanish
Attachment A National Worker Survey_12.3.24_Spanish.docx
02/27/2026
National Worker Survey - Vietnamese
Attachment A National Worker Survey_12.3.24_Vietnamese.docx
02/27/2026
Worker Survey Contact Materials - Simplified Chinese
Attachment B Worker Survey Contact Materials_2024_12_4-SimChi.docx
02/27/2026
Worker Survey Contact Materials - Spanish
Attachment B Worker Survey Contact Materials_2024_12_4_in Spanish.docx
02/27/2026
Worker Survey Contact Materials - Vietnamese
Attachment B Worker Survey Contact Materials_2024_12_4_Vietnamese.docx
02/27/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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