SCSEP Exit Form

Senior Community Service Employment Program (SCSEP)

OMB: 1205-0040

IC ID: 181011

Information Collection (IC) Details

View Information Collection (IC)

SCSEP Exit Form
 
No Removed
 
Required to Obtain or Retain Benefits
 
20 CFR Part 641  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 9123 SPARQ Exit Form ETA 9123 Final_20180823.xlsx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

76 0
   
State, Local, and Tribal Governments
 
   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 0 0 0 -22,235 0 22,235
Annual IC Time Burden (Hours) 0 0 0 -1,112 0 1,112
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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