Information Collection

State Exchange on Employment and Disability (SEED) Evaluation Survey

IC 224921 under ICR 201612-1230-001 · OMB 1230-0011.

Documents and Forms

Document Name Document Type
SEED Survey_Final.pdf websurveyor2.airws.org/Community/se.ashx?s=2511374521585CAA Instruction
Survey Cover Letter - 5_5.docx Instruction
Screen shot of SEED survey.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Exchange on Employment and Disability (SEED) Evaluation Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	SEED Survey_Final.pdf	http://websurveyor2.airws.org/Community/se.ashx?s=2511374521585CAA	Yes	Yes	Fillable Printable
Instruction	Survey Cover Letter - 5_5.docx		Yes	Yes	Fillable Printable
Instruction	Screen shot of SEED survey.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	108	108
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.