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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Department of Labor Generic Clearance for the Job Accommodation Network (JAN) Customer Satisfaction Survey
Agency IC Tracking Number:
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-Survey
JAN Employer Survey 9-14-2018Final.pdf
https://wvu.qualtrics.com/jfe/form/SV_0CVOb1ZRfXomvTD
Yes
Yes
Fillable Fileable
Other-Survey
JAN Individual Survey 9-14-2018Final.pdf
https://wvu.qualtrics.com/jfe/form/SV_e5O8cfaUNccBHrD
Yes
Yes
Fillable Fileable
Other-Survey
JAN Self-Employment Survey 9-14-2018Final.pdf
https://wvu.qualtrics.com/jfe/form/SV_ezczKAwKndM2ge1
Yes
Yes
Fillable Fileable
Other-Survey
JAN Professional Survey 9-14-2018Final.pdf
https://wvu.qualtrics.com/jfe/form/SV_blQuFjs0Po0tMJT
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
15,000
0
15,000
0
0
0
Annual IC Time Burden (Hours)
3,750
0
3,750
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Script for informed consent to participate in JAN customer satisfaction survey
Script for informed consent to participate in JAN customer satisfaction survey.docx
10/12/2018
WVU JAN Customer Satisfaction Budget Option year 1_2_3.
WVU JAN Customer Satisfaction Budget Option year 1_2_3..xlsx
10/12/2018
Email Introduction
JAN survey Email introductionFinal 10.09.18.docx
11/05/2018
Mini-Supporting Statement 11-2018
1225-0059 Supplemental Supporting Statement_.docx
11/05/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.