Follow Up Survey, 30-Months

Workforce Investment Act Adult and Dislocated Worker Programs Gold Standard Evaluation

Documents and Forms

Document Name Document Type
Appendix C-Surveys and FAQ.pdf Other-survey
Appendix C 1-30-Month Follow-Up Survey.docx Other-survey
Appendix D_Letters and Postcards.pdf Other-Letters & New Reminders to Sur
Appendix C 3-FAQ.docx Appendix C 3 IC Document

Information Collection (IC) Details

IC Title:	Follow Up Survey, 30-Months	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey	Appendix C-Surveys and FAQ.pdf	Yes	Yes	Fillable Fileable
Other-survey	Appendix C 1-30-Month Follow-Up Survey.docx	Yes	Yes	Fillable Fileable
Other-Letters & New Reminders to Survey Samples Members	Appendix D_Letters and Postcards.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,230	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,230	-1,230	2,460
Annual IC Time Burden (Hours)	615	-820	1,435
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix C 3	Appendix C 3-FAQ.docx	11/12/2015

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