ENROLLMENT AND DEPARTURE REPORT

ICR 198704-1205-001

OMB: 1205-0032

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
120651 Migrated
ICR Details
1205-0032 198704-1205-001
Historical Active 198404-1205-001
DOL/ETA
ENROLLMENT AND DEPARTURE REPORT
Revision of a currently approved collection   No
Regular
Approved without change 06/30/1987
Retrieve Notice of Action (NOA) 04/22/1987
  Inventory as of this Action Requested Previously Approved
05/31/1990 05/31/1990 05/31/1987
63,000 0 61,000
5,229 0 5,063
0 0 0

THIS FORM IS USED TO ASCERTAIN WHETHER THE APPLICANT ACCEPTS ASSIGNMEN TO A JOB CORPS CENTER. IF THE ASSIGNMENT IS ACCEPTED, THE FORM IS COMPLETED AND ACCOMPANIES THE ENROLLEE TO THE JOB CORPS CENTER. IT IS ALSO A VEHICLE FOR ACCOUNTING FOR ASSIGNMENTS REFUSED BY APPLICANTS.

None
None


No

1
IC Title Form No. Form Name
ENROLLMENT AND DEPARTURE REPORT ETA 657

  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 63,000 61,000 0 2,000 0 0
Annual Time Burden (Hours) 5,229 5,063 0 166 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
04/22/1987


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