SCSEP Employer and Host Agency Customer Satisfaction Surveys

SCSEP Performance Measurement System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0040 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9124C SCSEP Employer and Host Agency Customer Satisfaction Surveys Form and Instruction
ETA-9124C SCSEP Employer Customer Satisfaction Survey EMPLOYER Survey ETA-9124C.doc Form and Instruction
ETA-9124B SCSEP Host Agency Customer Satisfaction Survey HOST AGENCY Survey ETA-9124B.doc Form and Instruction

Information Collection (IC) Details

IC Title:	SCSEP Employer and Host Agency Customer Satisfaction Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR Part 641 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9124C	SCSEP Employer Customer Satisfaction Survey	EMPLOYER Survey ETA-9124C.doc		No		Paper Only
Form and Instruction	ETA-9124B	SCSEP Host Agency Customer Satisfaction Survey	HOST AGENCY Survey ETA-9124B.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	17,400	17,400
Annual IC Time Burden (Hours)	1,740	1,740
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.