Job Corps Application Data

Forms and Documents

Document Name	Status
Form ETA 652 Job Corps Application Data Form and Instruction	Modified
1205-0025 Supporting Statement 031620 Clean.docx Supporting Statement A	2020-03-17

IC Document Collections

IC ID	Document Title	Status
12941	Job Corps Application Data Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0025	ICR Reference No: 202003-1205-003
Status: Active	Previous ICR Reference No: 201612-1205-003
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Job Corps Application Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/27/2020
	Date Received in OIRA: 03/27/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	36 Months From Approved	04/30/2020
Responses	139,814	0	139,955
Time Burden (Hours)	12,544	0	12,556
Cost Burden (Dollars)	90,944	0	0

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Abstract: Forms ETA 652, 655 and 682 are used to obtain information for screening and enrollment purposes to determine eligibility for the Job Corp program in accordance with the requirements of the Workforce Investment Act. They concern questions of economic criteria and past behavior problems as well as questions needed to certify an applicant's arrangements for care of a dependent child(ren) while the applicant is in Job Corps.

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Authorizing Statute(s): US Code: 29 USC 3196 Name of Law: Workforce Innovation and Opportunity Act
   US Code: 20 USC 670.965 Name of Law: Workforce Investment Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 935	01/08/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 17099	03/26/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Job Corps Application Data	ETA 652, ETA 655, ETA 682	Job Corps Applicant Data Sheet ,   Statement from Court or Other Agency ,   Child Care Certification

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	139,814	139,955	0	-141	0	0
Annual Time Burden (Hours)	12,544	12,556	0	-12	0	0
Annual Cost Burden (Dollars)	90,944	0	0	90,944	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There were no program changes and the number of estimated applicants is based on PY 2018 data, which is relatively unchanged from the currently approved collection at 66,630 vs 66,697. The changes to the ETA 652 include: • Revision and expansion of data collected on the applicant’s employment history to align with recommendations from the OIG to increase the relevance of data collected for post-separation placement outcomes. The data to be collected are: employment status at time of application; current and previous employer names; and hourly wage, estimated hours per week, and months employed under each of these employers. Additionally, a field to collect information on the applicant’s receipt of unemployment compensation has been added to meet the requirements to report on a corresponding data element in the DOL Participant Individual Record Layout (PIRL) used for calculating performance outcomes required by WIOA and DOL. • Revision and expansion of data collected on the applicant’s current or prior military experience. This data will be collected to meet the requirement to report on corresponding data elements in the PIRL used for calculating performance outcomes required by WIOA and DOL. These data are: prior military; eligible veteran status; campaign veteran; disabled veteran; homeless veteran; date of military separation; transitioning member; and covered person entry date. • Revision and expansion of data collected related to the applicant’s receipt of specific welfare benefits to meet the requirement to report on corresponding data elements in the PIRL used for calculating performance outcomes required by WIOA and DOL. The data to be collected are: Temporary Assistance for Needy Families (TANF); supplemental security income; social security disability income; and receipt of cash assistance through General Assistance or Refugee Cash Assistance.

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Annual Cost to Federal Government: $543,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/27/2020

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