OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Baseline Information Form

IC 255685 under ICR 202502-1290-002 · OMB 1290-0039.

Documents and Forms
Document Name
Document Type
Other-Information Form
Other-Information Form
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Baseline Information Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Information Form March 5 2025_PHE QED Baseline Information Form_Jan2023_clean_forOMB_v2_clean.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

833 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 833 0 0 0 0 833
Annual IC Time Burden (Hours) 208 0 0 0 0 208
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Participant consent form PHE QED Participant Consent Form_June2022_clean.docx 08/29/2022
PHE QED Baseline Information Form_Jan2023_trcks_forOMB PHE QED Baseline Information Form_Jan2023_trcks_forOMB.docx 01/30/2023
PHE QED Participant Consent Form_Jan2023_Program_clean_forOMB PHE QED Participant Consent Form_Jan2023_Program_clean_forOMB.docx 01/30/2023
PHE QED Participant Consent Form_Jan2023_Program_trcks_forOMB PHE QED Participant Consent Form_Jan2023_Program_trcks_forOMB.docx 01/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.