Employer/Institution Re-Verification

Post Enrollment Data Collection for Job Corps Participants

Documents and Forms

Document Name Document Type
Appendix D.docx Other-Appendix D
Appendix D.docx Other-Appendix D

Information Collection (IC) Details

IC Title:	Employer/Institution Re-Verification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix D			Appendix D.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: 67 FR 16815

Number of Respondents: 5,000	Number of Respondents for Small Entity: 4,944

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	0	5,000
Annual IC Time Burden (Hours)	1,000	-1,000	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0	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.