Job Corps Health Questionnaire

Job Corps Health Questionnaire

OMB: 1205-0033

IC ID: 12954

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Job Corps Health Questionnaire
 
No Modified
 
Voluntary
 
20 CFR 670.410

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA-653 Job Corps Health Questionnaire ETA-653 (OMB 1205-0033) highlighted.pdf Yes Yes Fillable Printable

Workforce Management Training and Employment

DOL/ETA-8  67 FR 16816

87,943 0
   
Individuals or Households
 
   0 %

  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 87,943 0 0 -14,890 0 102,833
Annual IC Time Burden (Hours) 7,329 0 0 -1,240 0 8,569
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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