Job Corps Placement and Assistance Record

Forms and Documents

Document Name	Status
Form ETA-678 Job Corps Placement and Assistance Record Form	Modified
SUPPORTING STATEMENT FOR OMB 1205-0035(678).doc Supporting Statement A	2007-06-11

IC Document Collections

IC ID	Document Title	Status
12956	Job Corps Placement and Assistance Record Form	Modified

ICR Details

OMB Control No: 1205-0035	ICR Reference No: 200706-1205-010
Status: Historical Active	Previous ICR Reference No: 200405-1205-003
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Job Corps Placement and Assistance Record
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: 09/06/2007
	Date Received in OIRA: 06/19/2007
Terms of Clearance: This collection is approved. OMB notes ETA modified this collection during review to stop collecting Social Security Numbers. DOL can match participant Student IDs back to existing records for data purposes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2010	36 Months From Approved	09/30/2007
Responses	48,318	0	48,318
Time Burden (Hours)	5,979	0	5,979
Cost Burden (Dollars)	48,000	0	48,000

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Abstract: This automated form is used to obtain information about student training for placement of students in jobs, further education or military service. The form is used to evaluate overall program effectiveness and is the only form which documents a student's post-center status. The form is prepared by Job Corps centers and placement specialists for each student separating from Job Corps centers and has no further impact on the public.

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Authorizing Statute(s): None

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:
	72 FR 63	04/03/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 117	06/19/2007
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Job Corps Placement and Assistance Record	ETA-678	Job Corps Placement and Assistance Record

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ICR Summary 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	48,318	48,318	0	0	0	0
Annual Time Burden (Hours)	5,979	5,979	0	0	0	0
Annual Cost Burden (Dollars)	48,000	48,000	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:

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Annual Cost to Federal Government: $0

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? Yes

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: 06/19/2007

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