Aging Worker Initiative Evaluation

Evaluation of the Aging Worker Initiative Grants

Documents and Forms

Document Name Document Type
AWI-Master-Protocol-final2.docx Other-survey
Additional data requested - AWI.doc Other-data fields
AWI--Protocols for respondents revised 9_21_11cas.doc Other-protocols

Information Collection (IC) Details

IC Title:	Aging Worker Initiative Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey	AWI-Master-Protocol-final2.docx	Yes	No	Fillable Fileable Signable
Other-data fields	Additional data requested - AWI.doc	Yes	Yes	Fillable Fileable
Other-protocols	AWI--Protocols for respondents revised 9_21_11cas.doc	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,300	7,300
Annual IC Time Burden (Hours)	4,407	4,407
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.