Staff Survey - Full Length

Job Search Assistance Strategies (JSA) Evaluation - Contact updates, Interim Surveys and Six-Month Follow-up Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0440 can be found here:

Documents and Forms

Document Name Document Type
JSA OMB Attachment C Staff Survey Instrument - July 2014 - Revised.docx Other-Survey
JSA OMB Attachment E Supervisor Survey - July 2014 - Revised.docx Other-Survey

Information Collection (IC) Details

IC Title:	Staff Survey - Full Length	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Survey			JSA OMB Attachment C Staff Survey Instrument - July 2014 - Revised.docx		Yes	Yes	Fillable Fileable
Other-Survey			JSA OMB Attachment E Supervisor Survey - July 2014 - Revised.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	-70	220
Annual IC Time Burden (Hours)	63	-47	110
Annual IC Cost Burden (Dollars)	0	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.