PLACEMENT QUESTIONNAIRE

ICR 198804-3220-003

OMB: 3220-0163

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
157790 Migrated
ICR Details
3220-0163 198804-3220-003
Historical Active
RRB
PLACEMENT QUESTIONNAIRE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/21/1988
Retrieve Notice of Action (NOA) 04/12/1988
Approved for use through 6/89 under the following conditions: o Questions 3 and 4 are redesigned to utilize check boxes and minimize burden on the respondent o In question 5, "Address of employer's personnel office" is deleted o The next submission for OMB approval contains an analysis of the effectiveness of the employment services program, based on the information collected in this request.
  Inventory as of this Action Requested Previously Approved
06/30/1989 06/30/1989
3,365 0 0
316 0 0
0 0 0

UNDER SECTIONS 12(I) AND 12(L) OF THE RAILROAD UNEMPLOYMENT INSURANCE ACT (RUIA), THE RAILROAD RETIREMENT BOARD IS AUTHORIZED TO ESTABLISH, MAINTAIN AND OPERATE FREE EMPLOYMENT OFFICES TO PROVIDE CLAIMANTS FOR UNEMPLOYMENT BENEFITS WITH JOB PLACEMENT SERVICES. THE COLLECTION OBTAINS INFORMATION TO IMPROVE AND EVALUATE THE EFFECTIVENESS OF THE BOARD'S EMPLOYMENT SERVICES PROGRAM.

None
None


No

1
IC Title Form No. Form Name
PLACEMENT QUESTIONNAIRE ES-24

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,365 0 0 3,365 0 0
Annual Time Burden (Hours) 316 0 0 316 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/12/1988


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