Gold Card Initiative Questionnaire

Quick Turnaround Surveys on Workforce Investment Act Implementation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0436 can be found here:

Documents and Forms

Document Name Document Type
Gold Card Initiative questionnaire 4-2-12.docx Other-brief questinonaire
Abbreviated supporting statement form Gold Card Initiative 4-2-12.doc Supporting Statement, Abbreviated IC Document

Information Collection (IC) Details

IC Title:	Gold Card Initiative Questionnaire	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-brief questinonaire			Gold Card Initiative questionnaire 4-2-12.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	424	424
Annual IC Time Burden (Hours)	1,696	1,696
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement, Abbreviated	Abbreviated supporting statement form Gold Card Initiative 4-2-12.doc	04/03/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.