WIRED Initiative Evaluation, screener, local governments

Workforce Innovation in Regional Economic Development (WIRED) Initiative Evaluation

Documents and Forms

Document Name Document Type
WIRED Screener Survey 6 25 09.doc Other-survey

Information Collection (IC) Details

IC Title:	WIRED Initiative Evaluation, screener, local governments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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			WIRED Screener Survey 6 25 09.doc		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,040	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,040	1,040
Annual IC Time Burden (Hours)	87	87
Annual IC Cost Burden (Dollars)	3,120	3,120

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.