Information Collection

COVID-19 Symptom Tracker -- Students

IC 249485 under ICR 202207-1205-003 · OMB 1205-0548.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1205-0548 Attachment A + B Symptom Tracker and Emotional Wellness Form 2-23-2022.docx	Other-Attestation
1205-0548 Attachment A + B Symptom Tracker and Emotional Wellness Form 2-23-2022.docx	Other-Attestation

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attestation			1205-0548 Attachment A + B Symptom Tracker and Emotional Wellness Form 2-23-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/GOVT-2 Job Corps Student Records

FR Citation: 81 FR 25765

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	7,300,000	7,300,000
Annual IC Time Burden (Hours)	2,409,000	2,409,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.