Job Corps Application Data

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0025 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 655 Job Corps Application Data Form and Instruction
ETA 655 Statement from Court or Other Agency 1205-0025 - ETA655 Statement from Court or Other Agency 2013.doc Form and Instruction
ETA 652 Job Corps Data Sheet 1205-0025 ETA652 Job Corps Data Sheet 2013.doc Form and Instruction
ETA 682 Child Care Certification 1205-0025 ETA 682_Child_Care_Certification 2013.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Job Corps Application Data	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 655	Statement from Court or Other Agency	1205-0025 - ETA655 Statement from Court or Other Agency 2013.doc	Yes	Yes	Fillable Printable
Form and Instruction	ETA 652	Job Corps Data Sheet	1205-0025 ETA652 Job Corps Data Sheet 2013.doc	Yes	Yes	Fillable Printable
Form and Instruction	ETA 682	Child Care Certification	1205-0025 ETA 682_Child_Care_Certification 2013.doc	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/GOVT-2	FR Citation: 67 FR 16829

Number of Respondents: 86,581	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	Previously Approved
Annual Number of Responses for this IC	179,723	87,601	92,122
Annual IC Time Burden (Hours)	16,201	-2,223	18,424
Annual IC Cost Burden (Dollars)	0	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.