SCSEP Participant Customer Satisfaction Survey

Senior Community Service Employment Program Performance Measurement System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0040 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9124 SCSEP Participant Customer Satisfaction Survey Form and Instruction
ETA-9124 SCSEP Participant Survey - Customer Satisfaction PARTICIPANT Survey ETA-9124A_9 2 11.doc Form and Instruction

Information Collection (IC) Details

IC Title:	SCSEP Participant Customer Satisfaction Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 20 CFR Part 641 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9124	SCSEP Participant Survey - Customer Satisfaction	PARTICIPANT Survey ETA-9124A_9 2 11.doc		Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-17,500	17,500
Annual IC Time Burden (Hours)	-2,917	2,917
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.