Information Collection

Disability Employment Initiative Evaluation Site Visits - Partners & Employers

IC 199066 under ICR 201104-1230-001 · OMB 1230-0006.

Documents and Forms

Document Name Document Type
DEI Eval Site Visit Question Matrix.xls Other-Interview Guide
Interveiw_Protocol_1-25-13_Final.doc Protocol IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disability Employment Initiative Evaluation Site Visits - Partners & Employers	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-Interview Guide			DEI Eval Site Visit Question Matrix.xls		No		Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: System of Records Notice, DOL/ETA-15	FR Citation: 67 FR 16898

Number of Respondents: 174	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	174	174
Annual IC Time Burden (Hours)	131	131
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Protocol	Interveiw_Protocol_1-25-13_Final.doc	01/30/2013

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