OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

State Exchange on Employment and Disability Initiative Evaluation

ICR 201612-1230-001 · OMB 1230-0011 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
1230-NEW Supporting Statement A 5_9 SEED.docx Supporting Statement A Uploaded 2017-05-09 Available
SEED OMB Package Part B 12-1 ch FINAL.docx Supporting Statement B Uploaded 2016-12-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
224921 State Exchange on Employment and Disability (SEED) Evaluation Survey Instruction New
ICR Details
1230-0011 201612-1230-001
Historical Active
DOL/ODEP
State Exchange on Employment and Disability Initiative Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/16/2017
Retrieve Notice of Action (NOA) 05/19/2017
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved
500 0 0
108 0 0
0 0 0
Information collection is being requested for a brief on-line survey, the “State Exchange on Employment and Disability (SEED) Initiative Implementation Evaluation Survey” that will aid in the formative evaluation of U.S. Department of Labor (DOL) Office of Disability Employment Policy’s (ODEP) State Exchange on Employment and Disability (SEED) initiative. The SEED initiative is designed to advance policy development at the state and local levels to promote employment opportunities for people with disabilities. This survey will be distributed to a sample of State legislators and their staff who have had the opportunity to participate in SEED related activities and/or learn about SEED through various dissemination activities.
PL: Pub.L. 114 - 113 Division H, Title I Sec.107 Name of Law: Consolidated Appropriations Act, 2016
  
None
Not associated with rulemaking
  81 FR 84618 11/23/2016
82 FR 23074 05/19/2017
Yes
1
IC Title Form No. Form Name
State Exchange on Employment and Disability (SEED) Evaluation Survey
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 0 0 500 0 0
Annual Time Burden (Hours) 108 0 0 108 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.
$284,500
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Cherise Hunter 202 693-4931 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/19/2017