Information Collection

Job Corps Placement and Assistance Record

IC 12955 under ICR 200011-1205-002 · OMB 1205-0035.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Job Corps Placement and Assistance Record

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-678				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 62,429

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62,429	62,429
Annual IC Time Burden (Hours)	13,567	13,567
Annual IC Cost Burden (Dollars)	177,000	177,000

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.