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Federal forms, ICRs, and supporting documents

Information Collection Request

Employment Assistance & Recruiting Network (EARN) Employer and Provider Enrollment Form, and Surveys

ICR 200604-1230-001 · OMB 1230-0003 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
14741 Employment Assistance & Recruiting Network (EARN) Employer and Provider Enrollment Form, and Surveys Form Migrated
ICR Details
1230-0003 200604-1230-001
Historical Active 200212-1230-001
DOL/ODEP
Employment Assistance & Recruiting Network (EARN) Employer and Provider Enrollment Form, and Surveys
Revision of a currently approved collection   No
Regular
Approved without change 07/03/2006
Retrieve Notice of Action (NOA) 04/05/2006
  Inventory as of this Action Requested Previously Approved
07/31/2009 07/31/2009 06/30/2006
1,788 0 14,100
437 0 4,655
0 0 0
EARN is a recruiting service that links employers with providers who refer qualified candidates with disabilities. This information collection will enable ODEP to implement its responsibilities by providing data program effectiveness.
None
None
No
1
IC Title Form No. Form Name
Employment Assistance & Recruiting Network (EARN) Employer and Provider Enrollment Form, and Surveys EARN-1, EARN-2, EARN-3, EARN-4
  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 1,788 14,100 0 0 -12,312 0
Annual Time Burden (Hours) 437 4,655 0 0 -4,218 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
Yes Part B of Supporting Statement
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.
04/05/2006