Information Collection

Plan for Evaluation of the Trade Adjustment Assistance Program

IC 43794 under ICR 200905-1205-002 · OMB 1205-0460.

Documents and Forms

Document Name Document Type
Form Appendix A Plan for Evaluation of the Trade Adjustment Assistance Program Form and Instruction
Appendix A Baseline Survey Appendix A-Baseline Survey.final.doc Form and Instruction
Appendix B Follow Up Survey Appendix B - FollowupSurvey.final.doc Form and Instruction
Appendix C State UI Data Request Appendix C- State UI data Request.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Plan for Evaluation of the Trade Adjustment Assistance Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Appendix B	Follow Up Survey	Appendix B - FollowupSurvey.final.doc	Yes	No	Fillable Printable
Form and Instruction	Appendix A	Baseline Survey	Appendix A-Baseline Survey.final.doc	Yes	No	Fillable Printable
Form and Instruction	Appendix C	State UI Data Request	Appendix C- State UI data Request.doc	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,357	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,357	-296	1,653
Annual IC Time Burden (Hours)	940	-1,144	2,084
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.