Information Collection

Standard Job Corps reporting forms

IC 13047 under ICR 201212-1205-013 · OMB 1205-0219.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0219 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 640 Standard Job Corps reporting forms	Form
ETA 6-61 Student Separation eta-6-61 Student Separation.pdf	Form
ETA 640 Student Profile eta_640 Student Profile.pdf	Form
ETA 2110 Center Financial Report eta- 2110 - Center Financial report.pdf	Form
ETA 2181 Center Operations Budget eta 2181 - Center Operations Budget.pdf	Form
ETA 6131 A and B Disciplinary Discharge eta 6-131A and 631B Disciplinary Discharge.pdf	Form
ETA 6131 C Right to Appeal eta_6-131c Right to Appeal.pdf	Form
ETA 3-28 Property Inventory eta 3-28 Property Inventory.pdf	Form
privacy2.gif privacy statement	IC Document

IC Title:

Standard Job Corps reporting forms

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 640	Student Profile	eta_640 Student Profile.pdf	Yes	Yes	Fillable Fileable
Form	ETA 2110	Center Financial Report	eta- 2110 - Center Financial report.pdf	Yes	Yes	Fillable Fileable
Form	ETA 2181	Center Operations Budget	eta 2181 - Center Operations Budget.pdf	Yes	Yes	Fillable Fileable
Form	ETA 6131 A and B	Disciplinary Discharge	eta 6-131A and 631B Disciplinary Discharge.pdf	Yes	Yes	Fillable Fileable
Form	ETA 6131 C	Right to Appeal	eta_6-131c Right to Appeal.pdf	Yes	Yes	Fillable Fileable
Form	ETA 3-28	Property Inventory	eta 3-28 Property Inventory.pdf	Yes	Yes	Fillable Fileable
Form	ETA 6-61	Student Separation	eta-6-61 Student Separation.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 97

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	184,628	-47,584	232,212
Annual IC Time Burden (Hours)	38,610	-23,915	62,525
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
privacy statement	privacy2.gif	01/08/2013

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