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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Aim 2a Cohort Screener (English/Spanish)
Agency IC Tracking Number:
0920-1423-24BY
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
MOD00003217
Aim 2a Cohort Screener English
Att 4f_Aim2aCohortScreenerEnglish CLEAN.docx
Yes
Yes
Fillable Fileable
Form and Instruction
V2023-1102
Elegibilidad de cohorte (Aim2aCohortScreener_Spanish)
Att 4f.a_Aim2aCohortScreenerSpanish CLEAN.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1423
Aim 2a - Cohort Screeeer_English
Att 4f_Aim2aCohortScreenerEnglish_clean.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1423
Aim 2a - Cohort Screeeer_Spanish
Att 4f_Aim2aCohortScreenerSpanish_clean.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1423
Att 4f - Aim2a Cohort Screener English_REV 19SEP2025
Att 4f_Screener_English_clean.docx
NA
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1423
Att 4f - Aim2a Cohort Screener Spanish_REV 19SEP2025
Att 4f_Screener_Spanish_clean.docx
NA
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:
267
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
267
0
0
0
0
267
Annual IC Time Burden (Hours)
22
0
0
0
0
22
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 4f.1_Aim 2a Cohort Screener English
Att 4f.1_Aim2aCohortScreenerEnglish (TC).docx
01/05/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.