Information Collection

Follow Up Surveys, 15 and 30 months

IC 203915 under ICR 201208-1205-012 · OMB 1205-0504.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0504 can be found here:

Documents and Forms

Document Name Document Type
Appendix A - WIA 15-Month Follow-Up Survey Instrument OMB.docx Other-survey
Appendix B - 30-Month Follow-Up Survey OMB.docx Other-survey
Appendix C - Letters and Reminders to Survey Sample Members.docx Appendix C IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow Up Surveys, 15 and 30 months	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-survey			Appendix A - WIA 15-Month Follow-Up Survey Instrument OMB.docx		Yes	Yes	Fillable Fileable
Other-survey			Appendix B - 30-Month Follow-Up Survey OMB.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,460	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,460	2,460
Annual IC Time Burden (Hours)	1,435	1,435
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix C	Appendix C - Letters and Reminders to Survey Sample Members.docx	10/02/2012

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