Information Collection

Job Opportunity Bank Service (jobs) Program

IC 109127 under ICR 199103-0704-002 · OMB 0704-0324.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0324 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

JOB OPPORTUNITY BANK SERVICE (JOBS) PROGRAM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	DD X140	No	No
Form	DD X139	No	No
Form	DD X138	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	130,000	130,000
Annual IC Time Burden (Hours)	29,200	29,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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