Job Corps Successful Graduate Self Nomination Forms

Job Corps Hall of Fame / Successful Graduate Nomination

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0546 can be found here:

Documents and Forms

Document Name Document Type
Job Corps Successful Graduate Self Nomination Forms Form and Instruction
Job Corps Certificate of Success in Career Achievement N OMB 1205-0NEW Certificate of Success Form.pdf Form and Instruction
Job Corps Certificate of Success in Career Achievement N OMB 1205-0NEW Certificate of Success Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Job Corps Successful Graduate Self Nomination Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 686

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Job Corps Certificate of Success in Career Achievement Nomination Form	OMB 1205-0NEW Certificate of Success Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	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.