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Disability Employment Initiative Evaluation Site Visits - Partners & Employers
Disability Employment Initiative Evaluation
OMB: 1230-0006
IC ID: 199066
OMB.report
DOL/ODEP
OMB 1230-0006
ICR 201104-1230-001
IC 199066
( )
Documents and Forms
Document Name
Document Type
DEI Eval Site Visit Question Matrix.xls
Other-Interview Guide
Interveiw_Protocol_1-25-13_Final.doc
Protocol
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Disability Employment Initiative Evaluation Site Visits - Partners & Employers
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-Interview Guide
DEI Eval Site Visit Question Matrix.xls
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
System of Records Notice, DOL/ETA-15
FR Citation:
67 FR 16898
Number of Respondents:
174
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
174
0
174
0
0
0
Annual IC Time Burden (Hours)
131
0
131
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Protocol
Interveiw_Protocol_1-25-13_Final.doc
01/30/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.