Information Collection

Participant Data Collection, agree to participate

IC 199417 under ICR 201109-1205-002 · OMB 1205-0494.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0494 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 627759 Participant Data Collection, agree to participate	Form and Instruction
627759 Participant Tracking System 627759_YPDP-Attachment_A_PTS_(11-16-11).doc	Form and Instruction

IC Title:

Participant Data Collection, agree to participate

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	627759	Participant Tracking System	627759_YPDP-Attachment_A_PTS_(11-16-11).doc		Yes	Yes	Fillable Fileable

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: 1,633

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,798	9,798
Annual IC Time Burden (Hours)	1,633	1,633
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.