Information Collection

Participant Data Disclosure

IC 201421 under ICR 201808-1205-003 · OMB 1205-0455.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Adult Offender Record Layout_FINAL 8.7.18.xls	Other-MIS record layout

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.