Information Collection

Follow Up Surveys, 15 and 30 months

IC 203915 under ICR 201502-1205-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
WIA $40 Postcard 30 month (4-3-14 dab)_2-20-2015.docx Other-Post Card
WIA Gold Standard Evaluation, Appendix C - Letters and Reminders - CLEAN-with track changes accepted, 2.26.2015.docx Other-Letters & New Reminders to Sur
Appendix C - Letters and Reminders to Survey Sample Members.docx Appendix C IC Document
WIA Gold Standard Evaluation, Appendix C - Letters and Reminders - with track changes, 2.26.2015.docx Appendix C - Letters and New Reminders to Survey Members 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: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	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
Other-Post Card	WIA $40 Postcard 30 month (4-3-14 dab)_2-20-2015.docx	Yes	Yes	Fillable Fileable
Other-Letters & New Reminders to Survey Samples Members	WIA Gold Standard Evaluation, Appendix C - Letters and Reminders - CLEAN-with track changes accepted, 2.26.2015.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	Previously Approved
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
Appendix C - Letters and New Reminders to Survey Members	WIA Gold Standard Evaluation, Appendix C - Letters and Reminders - with track changes, 2.26.2015.docx	02/27/2015

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