Participant Data Collection (Participants)

Enhanced Transitional Jobs Demonstration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0485 can be found here:

Documents and Forms

Document Name Document Type
ETJD Data Elements 8 2011.doc Other-MIS Data Elements

Information Collection (IC) Details

IC Title:	Participant Data Collection (Participants)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MIS Data Elements			ETJD Data Elements 8 2011.doc		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA 15	FR Citation: 67 FR 16898

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	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.