Participant Data Disclosure

Reintegration of Ex-Offenders, Adult Reporting System

Documents and Forms

Document Name Document Type
Adult Offender Record Layout_FINAL 8.7.18.xls Other-MIS record layout

Information Collection (IC) Details

IC Title:	Participant Data Disclosure	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MIS record layout			Adult Offender Record Layout_FINAL 8.7.18.xls		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA 15	FR Citation: 68 FR 16898

Number of Respondents: 10,173	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,173	4,548	5,625
Annual IC Time Burden (Hours)	6,104	3,291	2,813
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.