Assistance Dog Providers Survey

Returning our Veterans to Employment and Reintegration (ROVER): National Surveys of Assistance Dog Providers and Veterans

Documents and Forms

Document Name Document Type
Assistance Dog Providers Survey Form and Instruction
Assistance Dog Providers Survey Attachment C Provider Survey13 1 2.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Assistance Dog Providers Survey	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
Form and Instruction	none	Assistance Dog Providers Survey	Attachment C Provider Survey13 1 2.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
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.