Information Collection

Standard Job Corps reporting forms

IC 13047 under ICR 202202-1205-001 · OMB 1205-0219.

⚠️ Notice: This information collection may be referencing outdated material.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

2025-05-09 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 6-131A and 6-1 Standard Job Corps reporting forms	Form
ETA 6-131A and 6-1 Disciplinary Discharge ETA 6-131A and 6-131B Disciplinary Discharge (2).pdf	Form
ETA 6-131A and 6-1 Disciplinary Discharge ETA 6-131A and 6-131B Disciplinary Discharge (2).pdf	Form
ETA 6-131C Right to Appeal ETA 6-131C Right to Appeal.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
ETA 328 Property Inventory ETA 328 Property Inventory.pdf	Form
ETA 640 Student Profile ETA 640 Student Profile.pdf	Form
ETA 640 Student Profile ETA 640 Student Profile.pdf	Form
ETA 9192 Annual Center Academic Programs Review and Planning ETA 9192 Annual Center Academic Programs Review and Planning.pdf	Form
ETA 9192 Annual Center Academic Programs Review and Planning ETA 9192 Annual Center Academic Programs Review and Planning.pdf	Form
ETA 661 Student Seperation ETA-661 Student Separation (2).pdf	Form
ETA 661 Student Seperation ETA-661 Student Separation (2).pdf	Form
ETA 2110 Center Financial Report ETA-2110 Center Financial Report.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 2181 Center Operations Budget ETA-2181 Center Operations Budget.pdf	Form
ETA 9190 Grants Data Collection Forms ETA-9190 A_B_C _JC Grants_Data Collection Forms.pdf	Form
ETA 9190 Grants Data Collection Forms ETA-9190 A_B_C _JC Grants_Data Collection Forms.pdf	Form
ETA 6-36 Environmental Health Inspection OJC 6-36 Environmental Health Inspection (1).pdf	Form
ETA 6-36 Environmental Health Inspection OJC 6-36 Environmental Health Inspection (1).pdf	Form
ETA 6-37 Inspection of Residential and Educational Facilities OJC 6-37 Inspec_Residential and Educational Facilities (1).pdf	Form
ETA 6-37 Inspection of Residential and Educational Facilities OJC 6-37 Inspec_Residential and Educational Facilities (1).pdf	Form
ETA 6-38 Inspection of Water and Supply Facilities OJC 6-38 Inspection of Water and Supply Facilities.pdf	Form
ETA 6-38 Inspection of Water and Supply Facilities OJC 6-38 Inspection of Water and Supply Facilities.pdf	Form
ETA 6-39 Inspection of Waste Water Treatment Facilities OJC 6-39 Inspection of WasteWater Treatment Facilities (1).pdf	Form
ETA 6-39 Inspection of Waste Water Treatment Facilities OJC 6-39 Inspection of WasteWater Treatment Facilities (1).pdf	Form
privacy2-3.gif Privacy Statement	IC Document
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.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 6-131A and 6-131B	Disciplinary Discharge	ETA 6-131A and 6-131B Disciplinary Discharge (2).pdf	Yes	Yes	Fillable Fileable
Form	ETA 6-131C	Right to Appeal	ETA 6-131C Right to Appeal.pdf	Yes	Yes	Fillable Fileable
Form	ETA 328	Property Inventory	ETA 328 Property Inventory.pdf	Yes	Yes	Fillable Fileable
Form	ETA 640	Student Profile	ETA 640 Student Profile.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9192	Annual Center Academic Programs Review and Planning	ETA 9192 Annual Center Academic Programs Review and Planning.pdf	Yes	Yes	Fillable Fileable
Form	ETA 661	Student Seperation	ETA-661 Student Separation (2).pdf	Yes	Yes	Fillable Fileable
Form	ETA 2110	Center Financial Report	ETA-2110 Center Financial Report.pdf	Yes	Yes	Fillable Fileable
Form	ETA 2181	Center Operations Budget	ETA-2181 Center Operations Budget.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9190	Grants Data Collection Forms	ETA-9190 A_B_C _JC Grants_Data Collection Forms.pdf	Yes	Yes	Fillable Fileable
Form	ETA 6-36	Environmental Health Inspection	OJC 6-36 Environmental Health Inspection (1).pdf	Yes	Yes	Fillable Fileable
Form	ETA 6-37	Inspection of Residential and Educational Facilities	OJC 6-37 Inspec_Residential and Educational Facilities (1).pdf	Yes	Yes	Fillable Fileable
Form	ETA 6-38	Inspection of Water and Supply Facilities	OJC 6-38 Inspection of Water and Supply Facilities.pdf	Yes	Yes	Fillable Fileable
Form	ETA 6-39	Inspection of Waste Water Treatment Facilities	OJC 6-39 Inspection of WasteWater Treatment Facilities (1).pdf	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: 2,550

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	277,298	74,489	202,809
Annual IC Time Burden (Hours)	83,640	2,124	81,516
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Privacy Statement	privacy2-3.gif	05/06/2016

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