Information Collection

Intake Forms and Return Visits, Staff

IC 198226 under ICR 201101-1205-001 · OMB 1205-0482.

Documents and Forms

Document Name Document Type
WIA Evaluation - Appendix B.pdf Other-intake

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Intake Forms and Return Visits, Staff	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-intake			WIA Evaluation - Appendix B.pdf		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETAÂ15ÂDOL/ETA Evaluation, Research Pilot or Demonstration ContractorsÂ Project Files	FR Citation: 67 FR 16816

Number of Respondents: 270	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	810	810
Annual IC Time Burden (Hours)	16,250	16,250
Annual IC Cost Burden (Dollars)	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.