Information Collection

Follow-up survey for impact study participants

IC 262144 under ICR 202309-1290-001 · OMB 1290-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1290-0045 can be found here:

Documents and Forms

Document Name Document Type
PH FUP survey_pretest_Oct2023 updates_clean.docx Other-Survey
PH FUP survey_pretest_Oct2023 updates_clean.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Follow-up survey for impact study participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 683

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			PH FUP survey_pretest_Oct2023 updates_clean.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: 533	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 64 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	533	533
Annual IC Time Burden (Hours)	222	222
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.