Information Collection

Job Corps Enrollee Allotment Determination

IC 12950 under ICR 201702-1205-002 · OMB 1205-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 658 Allotment Request Data Entry Screen Job Corps Enrollee Allotment Determination	Form
Allotment Instructions (CIS technical guide).pdf	Instruction
ETA 658 Allotment Request Data Entry Screen Allotment Request Data Entry Screen1 - ETA 658.doc	Form

IC Title:

Job Corps Enrollee Allotment Determination

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 670.965 20 CFR 686.62

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	ETA 658				Yes	Yes	Fillable Fileable
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/GOVT-2

FR Citation: 81 FR 25765

Number of Respondents: 1,749

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,749	649	1,100
Annual IC Time Burden (Hours)	87	32	55
Annual IC Cost Burden (Dollars)	0	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.

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