[OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 [OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey Form and Instruction
0920-1050 WAI - RETENTION SURVEY Att A WAI Retention Survey.docx Form and Instruction
Template WAI Retention.docx 0920-1050 GenIC Request Template - Retention Survey IC Document
SSA WAI Retention.docx Supproting Statement A - Summary IC Document

Information Collection (IC) Details

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

IC Status: Unchanged

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	0920-1050	WAI - RETENTION SURVEY	Att A WAI Retention Survey.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 49	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	49	49
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1050 GenIC Request Template - Retention Survey	Template WAI Retention.docx	01/14/2025
Supproting Statement A - Summary	SSA WAI Retention.docx	01/14/2025

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