View Information Collection (IC)

View Information Collection (IC)

IC Title:	Job Accommodation Network	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			JAN SGA for OMB PRA Clearance 5-25-12.doc	www.grants.gov	Yes	Yes	Fillable Fileable
Instruction			Sample Logic Model for JAN SGA 05_25_12_revised.doc	www.grants.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 10

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	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	10	0	10	0	0	0
Annual IC Time Burden (Hours)	200	0	200	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	JAN SGA_OIRA Memo(20120607).doc	06/07/2012

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