Information Collection

Participant Data Intake by Employers

IC 218968 under ICR 201509-1205-007 · OMB 1205-0528.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0528 can be found here:

Documents and Forms

Document Name Document Type
Master AAI Data Elements DRAFT_w_Report_Values_8.31.16.xlsx Other-null

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Participant Data Intake by Employers	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-null			Master AAI Data Elements DRAFT_w_Report_Values_8.31.16.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	7,000	7,000
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.