JOB CORPS HEALTH SERVICES--UTILIZATION SUMMARY AND QUARTERLY COSTS INCURRED

ICR 197406-1205-001

OMB: 1205-0037

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1205-0037 197406-1205-001
Historical Active
DOL/ETA
JOB CORPS HEALTH SERVICES--UTILIZATION SUMMARY AND QUARTERLY COSTS INCURRED
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/03/1974
Approved with change 06/03/1974
Retrieve Notice of Action (NOA) 06/03/1974
  Inventory as of this Action Requested Previously Approved
12/31/1978 12/31/1978
1,116 0 0
1,736 0 0
0 0 0



None
None


No

1
IC Title Form No. Form Name
JOB CORPS HEALTH SERVICES--UTILIZATION SUMMARY AND QUARTERLY COSTS INCURRED MA 6-127, MA6-128

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,116 0 0 0 1,116 0
Annual Time Burden (Hours) 1,736 0 0 0 1,736 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/03/1974


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