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Information Collection

Participant Baseline Survey and Consent Form

IC 276094 under ICR 202606-1290-001 · OMB 1290-0050.

Documents and Forms
Document Name
Document Type
Other-Spanish Version Consent and Su
Other-Survey
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Participant Baseline Survey and Consent Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Spanish Version Consent and Survey SCC4_Appendix B. Participant baseline survey and consent form_Spa_Spring 2026 revisions_clean.docx https://www.SCCNationalEval.com/Baseline Yes Yes Fillable Fileable
Other-Survey SCC4_Appendix A. Participant baseline survey and consent form_Eng_Spring 2026 revisions_clean.docx https://www.SCCNationalEval.com/Baseline Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

2,000 0
   
Individuals or Households
 
   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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 500 0 0 0 0 500
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 SCC4_Appendix O. Participant random assignment notification_Eng_Spring 2026 revisions_clean.docx 06/16/2026
T2-2025-06 SCC4_Appendix O. Participant random assignment notification_Spa_6-11 SCC4_Appendix P. Participant random assignment notification_Spa_Spring 2026 revisions_clean.docx 06/16/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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