Information Collection

Qualitative Employer Information Collection Form

IC 235772 under ICR 201901-1290-001 · OMB 1290-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1290-0030 can be found here:

Documents and Forms

Document Name Document Type
CLEAN_Qualitative Employer Information Collection Form__3-29-19.docx Other-Qualitative Information Collec

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Qualitative Employer Information Collection Form	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
Other-Qualitative Information Collection Form			CLEAN_Qualitative Employer Information Collection Form__3-29-19.docx		No		Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 512	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	512	512
Annual IC Time Burden (Hours)	128	128
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.