View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OPHDST] Workforce Acceleration Initiative (WAI) Mentorship Survey	Agency IC Tracking Number:	0920-1050-25CT

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
Form and Instruction	n/a	WAI Mentorship Survey	Att A WAI Mentorship Survey.docx		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: 180	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	180	0	180	0	0	0
Annual IC Time Burden (Hours)	30	0	30	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template	Template WAI Mentorship.docx	01/14/2025
Info Box from SSA	SSA WAI Mentorship.docx	01/14/2025

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