Survey on Evaluation Technical Assistance Received by State Peer Cohorts

QUICK-TURNAROUND SURVEYS AND SITE VISITS

Documents and Forms

Document Name Document Type
Evaluation_PLC_Survey_SWA_TA_2025.docx Other-Survey
Generic Clearance Submission Template_EvalPLC_survey 1.29.25.docx Survey on Evaluation Technical Assistance Received by State Peer Cohorts IC Document

Information Collection (IC) Details

IC Title:	Survey on Evaluation Technical Assistance Received by State Peer Cohorts	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 682.220 5 CFR 1320.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Evaluation_PLC_Survey_SWA_TA_2025.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	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 Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Survey on Evaluation Technical Assistance Received by State Peer Cohorts	Generic Clearance Submission Template_EvalPLC_survey 1.29.25.docx	01/30/2025

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