Information Collection

Grantee Survey

IC 255687 under ICR 202301-1290-001 · OMB 1290-0039.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1290-0039 can be found here:

Documents and Forms

Document Name Document Type
02. PHE_OMB1_Grantee Survey_April2022_clean.docx Other-survey
02. PHE_OMB1_Grantee Survey_April2022_clean.docx Other-survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Grantee Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-survey			02. PHE_OMB1_Grantee Survey_April2022_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	11	11
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.