Participant Data Collection, Participant Burden

Reintegration of Ex-Offenders, Adult Reporting System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0455 can be found here:

Documents and Forms

Document Name Document Type
_PRI_Record_Layout.xls Other-MIS record layout

Information Collection (IC) Details

IC Title:	Participant Data Collection, Participant Burden	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 record layout			_PRI_Record_Layout.xls		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA 15	FR Citation: 68 FR 16898

Number of Respondents: 5,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5,700	5,700
Annual IC Time Burden (Hours)	2,850	2,850
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.