Information Collection

Job Corps Placement and Assistance Record

IC 12956 under ICR 201703-1205-003 · OMB 1205-0035.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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 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 %

table that charts list of burden
	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

table that charts IC Documents
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.