View Information Collection (IC)

View Information Collection (IC)

IC Title:	Re-Employment Support and Training for the Opioid Related Epidemic, RESTORE Grant Program	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			WB FY19 RESTORE Opioid FOA 20190723.docx	www.grants.gov	Yes	Yes	Fillable Fileable Signable

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: 20	Number of Respondents for Small Entity: 20

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

Percentage of Respondents Reporting Electronically: 80 %

	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	20	0	20	0	0	0
Annual IC Time Burden (Hours)	400	0	400	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supplemental Supporting Statement: RESTORE Grant Program	RESTORE FOA Justification 2019 072319.docx	07/23/2019

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