Job Corps Health Questionnaire

Job Corps Health Questionnaire

OMB: 1205-0033

IC ID: 12954

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Information Collection (IC) Details

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Job Corps Health Questionnaire
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA-6-53 Yes Yes


    

102,833 0
   
Individuals or Households
 
   100 %

  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 102,833 0 0 9,833 0 93,000
Annual IC Time Burden (Hours) 8,569 0 0 819 0 7,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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