Information Collection

Employer Interviews

IC 215999 under ICR 201504-1291-002 · OMB 1291-0005.

Documents and Forms

Document Name Document Type
Form 5 Employer Interviews Form and Instruction
5 Employer Interview Guide 201504-1291-002_Implementation Study Instrument_2015-10-01_clean_final.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employer Interviews	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
Form and Instruction	5	Employer Interview Guide	201504-1291-002_Implementation Study Instrument_2015-10-01_clean_final.docx		Yes	Yes	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	23	23
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.