Information Collection

Standard Job Corps reporting forms

IC 13047 under ICR 201907-1205-006 · OMB 1205-0219.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0219 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 661 Student Separation Standard Job Corps reporting forms	Form
Form ETA 640 Student Profile Standard Job Corps reporting forms	Form
Form ETA 2110 Center Financial Report Standard Job Corps reporting forms	Form
Form ETA 2181 Center Operations Budget Standard Job Corps reporting forms	Form
Form ETA 6-131A and 6-1 Disciplinary Discharge Standard Job Corps reporting forms	Form
Form ETA 6-131C Right to Appeal Standard Job Corps reporting forms	Form
Form ETA 328 Property Inventory Standard Job Corps reporting forms	Form
Form 6-37 INSPECTION OF RESIDENTIAL AND EDUCATIONAL FACILITIES Standard Job Corps reporting forms	Form
Form 6-39 INSPECTION OF WASTEWATER TREATMENT FACILITIES Standard Job Corps reporting forms	Form
Form 6-38 INSPECTION OF WATER SUPPLY FACILITIES Standard Job Corps reporting forms	Form and Instruction
Form 6-36 INSPECTION OF FOOD SERVICE FACILITIES Standard Job Corps reporting forms	Form
JC Grants Data Collection Form (8-15-19).pdf	Other-
ETA 661 Student Separation ETA-661 Student Separation.pdf	Form
ETA 640 Student Profile ETA 640 Student Profile.pdf	Form
ETA 2110 Center Financial Report ETA-2110 Center Financial Report.pdf	Form
ETA 2181 Center Operations Budget ETA-2181 Center Operations Budget.pdf	Form
ETA 6-131A and 6-1 Disciplinary Discharge ETA 6-131A and 6-131B Disciplinary Discharge.pdf	Form
ETA 6-131C Right to Appeal ETA 6-131C Right to Appeal.pdf	Form
ETA 328 Property Inventory ETA 328 Property Inventory.pdf	Form
6-37 INSPECTION OF RESIDENTIAL AND EDUCATIONAL FACILITIES OJC 6-37 Inspec_Residential and Educational Facilities.pdf	Form
6-39 INSPECTION OF WASTEWATER TREATMENT FACILITIES OJC 6-39 Inspection of WasteWater Treatment Facilities.pdf	Form
6-38 INSPECTION OF WATER SUPPLY FACILITIES OJC 6-38 Inspection of Water and Supply Facilities.pdf	Form and Instruction
6-36 INSPECTION OF FOOD SERVICE FACILITIES OJC 6-36 Environmental Health Inspection.pdf	Form
privacy2-3.gif Privacy Statement	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Standard Job Corps reporting forms

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 686

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 661	Yes	Yes	Fillable Fileable
Form	ETA 640	Yes	Yes	Fillable Fileable
Form	ETA 2110	Yes	Yes	Fillable Fileable
Form	ETA 2181	Yes	Yes	Fillable Fileable
Form	ETA 6-131A and 6-131B	Yes	Yes	Fillable Fileable
Form	ETA 6-131C	Yes	Yes	Fillable Fileable
Form	ETA 328	Yes	Yes	Fillable Fileable
Form	6-37	Yes	Yes	Fillable Fileable
Form	6-39	Yes	Yes	Fillable Fileable
Form and Instruction	6-38	Yes	Yes	Fillable Fileable
Form	6-36	Yes	Yes	Fillable Fileable
Other-		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/GOVT-2. (Job Corps Student Records)

FR Citation: 67 FR 16815

Number of Respondents: 2,451

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	202,809	5,350	197,459
Annual IC Time Burden (Hours)	81,516	27,074	54,442
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Privacy Statement		05/06/2016

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

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