View Information Collection (IC)

View Information Collection (IC)

IC Title:	Employer Assistance and Resource Network on Disability Inclusion (EARN) 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
Form and Instruction	NA	Employer Assistance and Resource Network on Disability Inclusion (EARN) Grant Program	EARN FOA V4_.docx	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: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	5	0	5	0	0	0
Annual IC Time Burden (Hours)	250	0	250	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Employer Assistance and Resource Network on Disability Inclusion (EARN)	4.20.2023 OMB OIRA Supplemental Support Statement FY 23 Template_EARN.docx	04/24/2023

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