Tear-off Sheet, Voluntary Disability Disclosure

Registration and Equal Employment Opportunity in Apprenticeship Programs

OMB: 1205-0223

IC ID: 200928

Information Collection (IC) Details

View Information Collection (IC)

Tear-off Sheet, Voluntary Disability Disclosure
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA 671 Voluntary Disability Disclosure ETA Form 671 Tear off Voluntary Disability Disclosure 042721.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

252,271 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 252,271 0 116,799 0 0 135,472
Annual IC Time Burden (Hours) 146,317 0 135,073 0 0 11,244
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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