Job Corps Application Data

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0025 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-652, 655, 682 Job Corps Application Data Form
ETA-652, 655, 682 Job Corps Data Sheet, Statement from Court or other Agen Data Input Screens for OMS Forms - 2006.doc Form
ETA-652 Primary Applicant Form ETA-652.pdf Form
ETA-655 Statement from Court ETA-655.pdf Form
ETA-682 Child Care Certification ETA-682.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Job Corps Application Data	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-652, 655, 682	Job Corps Data Sheet, Statement from Court or other Agency, Child Care Certification	Data Input Screens for OMS Forms - 2006.doc	Yes	Yes	Fillable Fileable
Form	ETA-652	Primary Applicant Form	ETA-652.pdf	Yes	Yes	Fillable Fileable
Form	ETA-655	Statement from Court	ETA-655.pdf	Yes	Yes	Fillable Fileable
Form	ETA-682	Child Care Certification	ETA-682.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 87,943	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	92,122	-15,597	107,719
Annual IC Time Burden (Hours)	16,158	-2,736	18,894
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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