View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[PHIC] 2025 PHAP Program Separation Survey	Agency IC Tracking Number:	0920-25-0170

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	0920-1163	PHAP Program Separation Survey	Att1_PHAP ProSep_Surv_word.docx	N/A	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: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	100	0	100	0	0	0
Annual IC Time Burden (Hours)	33	0	33	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
PHAP Program Separation Survey - Screenshots	Att2_PHAP ProSep_Surv_scr.pdf	09/09/2025
0920-1163 GenIC Request Template	GenIC Req PHAP ProSep_Surv.docx	09/09/2025
Email Invitation/Reminder Email	Att3_PHAP ProSep_Surv InvRemEm.docx	09/09/2025

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