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Federal forms, ICRs, and supporting documents

Information Collection Request

SURVEY TO EVALUATE THE IMPACT OF A DISLOCATED WORKER PROJECT

ICR 198709-1205-003 · OMB 1205-0262 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
121270 SURVEY TO EVALUATE THE IMPACT OF A DISLOCATED WORKER PROJECT Migrated
ICR Details
1205-0262 198709-1205-003
Historical Active
DOL/ETA
SURVEY TO EVALUATE THE IMPACT OF A DISLOCATED WORKER PROJECT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/19/1987
Retrieve Notice of Action (NOA) 09/03/1987
The "Survey to Evaluate the Impact of a Dislocated Worker Project" is approved through December 1989 as a case study, subject to the following terms and conditions: (1) DOL will not generalize results from the St. Louis case study to either the entire Title III dislocated worker program or the new Worker Readjustment Program. (2) DOL will eliminate from the baseline surveys those questions eliciting information already collected in the UI benefit eligibility determination process, including: long baseline: b-8, b-9, b-12, c-5, c-6, and c-12 ("Indefinite layoff"). short baseline: question 30
  Inventory as of this Action Requested Previously Approved
12/31/1989 12/31/1989
2,400 0 0
1,400 0 0
0 0 0
A SURVEY IS TO BE CONDUCTED AMONG 2400 WORKERS DISLOCATED BY MULTIPLE PLANT CLOSINGS, WH ARE APPLYING FOR ASSISTANCE FROM THE METROPOLITAN RE-EMPLOYMENT PROJEC OF ST. LOUIS. APPLICANTS WILL BE RANDOMLY ASSIGNED TO A TREATMENT GROUP (RECEIVING SERVICES) OR THE CONTROL GROUP. THE SURVEY WILL GATH BENCHMARK DATA ON WORK HISTORY AND WAGES. A FOLLOW-UP SURVEY 18 MONTH LATER WILL GATHER INFORMATION ON THE EFFECTS OF THE PROGRAM.
None
None
No
1
IC Title Form No. Form Name
SURVEY TO EVALUATE THE IMPACT OF A DISLOCATED WORKER PROJECT
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,400 0 0 2,400 0 0
Annual Time Burden (Hours) 1,400 0 0 1,400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/03/1987