Job Corps Placement and Assistance Record

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0035 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 678 Job Corps Placement and Assistance Record Form
Instructions ETA 678 (cts_tech_guide).docx Instruction
ETA 678 Job Corps Placement Record ETA 678_FINAL 3.24.17.docx Form
ETA 678_(track changes) 3.24.17.docx ETA 678 - Job Corps Placement Record (track changes) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Job Corps Placement and Assistance Record	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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 678	Job Corps Placement Record	ETA 678_FINAL 3.24.17.docx		Yes	Yes	Fillable Fileable
Instruction			Instructions ETA 678 (cts_tech_guide).docx		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: 34,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	34,000	34,000
Annual IC Time Burden (Hours)	4,210	4,210
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ETA 678 - Job Corps Placement Record (track changes)	ETA 678_(track changes) 3.24.17.docx	03/27/2017

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