Information Collection Request

Senior Community Service Employment Program (SCSEP) Performance Measurement System

ICR 201010-1205-008 · OMB 1205-0040 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA-9120 SCSEP Participant Data Form (State) Form Modified Available
Form ETA-9123 SCSEP Exit Form (National) Form Modified Available
Form ETA-9123 SCSEP Exit Form (State) Form Modified Available
Form ETA-9122 SCSEP Unsubsidized Employment Form (National) Form Modified Available
Form ETA-9122 SCSEP Unsubsidized Employment Form (State) Form Modified Available
Form ETA-9121 SCSEP Community Service Assignment Form (National) Form Modified Available
Form ETA 9121 SCSEP Community Service Assignment Form (State) Form Modified Available
Form ETA-9120 SCSEP Participant Data Form (National) Form Modified Available
Form ETA 8705 SCSEP Equitable Distribution Report Form Modified Available
1205-0040FRN30Day(20101026.1745).doc Supplementary Document Uploaded 2010-10-28 Available
QPR Handbook_Rev 5_5 19 10.pdf Supplementary Document Uploaded 2010-10-21 Available
Data Collection Handbook Rev 6_4 19 10 Final.pdf Supplementary Document Uploaded 2010-10-21 Available
1205-0040_SupportPartA_final(20110119).doc Supporting Statement A Uploaded 2011-01-19 Available
BLS cover sheet signed by Eltinge 10 1 2010.pdf Supplementary Document Uploaded 2010-10-20 Available
SCSEP Privacy Statement09.doc Supplementary Document Uploaded 2010-10-19 Available
1205-0040 SupportPartB_9_30_10.pdf Supporting Statement B Uploaded 2010-10-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43785 SCSEP Participant Data Form (State) Form Modified
185407 SCSEP Four-Year State Strategy Instruction Modified
181013 SCSEP Exit Form (National) Form Modified
181011 SCSEP Exit Form (State) Form Modified
181010 SCSEP Unsubsidized Employment Form (National) Form Modified
181009 SCSEP Unsubsidized Employment Form (State) Form Modified
181008 SCSEP Community Service Assignment Form (National) Form Modified
181007 SCSEP Community Service Assignment Form (State) Form Modified
180574 SCSEP Participant Data Form (National) Form Modified
180499 SCSEP Equitable Distribution Report Form Modified
180161 SCSEP Participant Customer Satisfaction Survey Other-survey Modified
180160 SCSEP Employer and Host Agency Customer Satisfaction Surveys Other-survey Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved 03/31/2011
0 0 324,474
0 0 46,146
0 0 0







Reginfo record details
  No