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Job Corps Health Services--utilization Summary And Quarterly Costs Incurred
JOB CORPS HEALTH SERVICES--UTILIZATION SUMMARY AND QUARTERLY COSTS INCURRED
OMB: 1205-0037
IC ID: 168178
OMB.report
DOL/ETA
OMB 1205-0037
ICR 197509-1205-005
IC 168178
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0037 can be found here:
1981-07-30 - No material or nonsubstantive change to a currently approved collection
1978-12-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
JOB CORPS HEALTH SERVICES--UTILIZATION SUMMARY AND QUARTERLY COSTS INCURRED
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
MA 6-127
No
No
Form
MA6-128
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
992
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
992
0
0
-124
0
1,116
Annual IC Time Burden (Hours)
1,488
0
0
-248
0
1,736
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.