Job Corps Application Data

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA-652, 655, 682 Job Corps Application Data	Form	Modified	Available
Job Corps Race ethnicity 2 12 07.doc	Supplementary Document	Uploaded 2007-02-12	Available
SUPPORTING STATEMENT 1205-0025 1 22 07.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12941	Job Corps Application Data	Form	Modified

ICR Details

OMB Control No: 1205-0025	ICR Reference No: 200701-1205-003
Status: Historical Active	Previous ICR Reference No: 200312-1205-002
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Job Corps Application Data
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/04/2007
	Date Received in OIRA: 02/13/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved	05/31/2007
Responses	92,122	0	107,719
Time Burden (Hours)	16,158	0	18,894
Cost Burden (Dollars)	0	0	0

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Abstract: ETA 652, 655 and 682 are used to obtain information for screening and enrollment purposes to determine eligibility for the Job Corp program in accordance with the requirements of the Workforce Investment Act. They concern questions of economic critea, past behavior problems and to certify an applicant's arrangements for care of a dependent chil(ren) while the applicant is in Job Corps

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Authorizing Statute(s): PL: Pub.L. 105 - 220 C Name of Law: Workforce Investment Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 224	11/21/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 25	02/07/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Job Corps Application Data	ETA-652, 655, 682, ETA-655, ETA-682, ETA-652	Job Corps Data Sheet, Statement from Court or other Agency, Child Care Certification ,   Primary Applicant Form ,   Statement from Court ,   Child Care Certification

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ICR Summary of Burden

table that charts list of burden

	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	92,122	107,719	0	0	-15,597	0
Annual Time Burden (Hours)	16,158	18,894	0	0	-2,736	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: ETA has made no material changes to this collection of information, the forms remain unchanged since the last submission to OMB. The reduction in burden hours is an adjustment resulting from a reduced number of respondents (i.e., Job Corp applicants).

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Annual Cost to Federal Government: $750,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/13/2007

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