Information Collection

Participant Data, Participant Burden

IC 206160 under ICR 201211-1205-004 · OMB 1205-0511.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0511 can be found here:

Documents and Forms

Document Name Document Type
Collection Instrument.docx Other-data fields

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Participant Data, Participant Burden	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-data fields			Collection Instrument.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: 33,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	33,000	33,000
Annual IC Time Burden (Hours)	2,750	2,750
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.