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Baseline Information Form
Evaluation of the Reentry Employment Opportunities Grants by Chief Evaluation Office
OMB: 1290-0026
IC ID: 234041
OMB.report
DOL/OS
OMB 1290-0026
ICR 201811-1290-001
IC 234041
( )
Documents and Forms
Document Name
Document Type
REO 50503 BIF_June2019_CLEAN.DOCX
Other-Baseline Information Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Baseline Information Form
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-Baseline Information Form
REO 50503 BIF_June2019_CLEAN.DOCX
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,260
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
1,260
0
1,260
0
0
0
Annual IC Time Burden (Hours)
214
0
214
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.