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Job Corps Application Data
Job Corps Application Data
OMB: 1205-0025
IC ID: 12941
OMB.report
DOL/ETA
OMB 1205-0025
ICR 202212-1205-008
IC 12941
( )
Documents and Forms
Document Name
Document Type
Form ETA 652
Job Corps Application Data
Form and Instruction
ETA 652 Job Corps Applicant Data Sheet
DOL-JC Forms Redesign-652-Digital Template.docx
Form and Instruction
ETA 652 Job Corps Applicant Data Sheet
DOL-JC Forms Redesign-652-Digital Template.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Job Corps Application Data
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ETA 652
Job Corps Applicant Data Sheet
DOL-JC Forms Redesign-652-Digital Template.docx
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
FR Citation:
67 FR 16829
Number of Respondents:
66,697
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
66,697
0
-73,117
0
0
139,814
Annual IC Time Burden (Hours)
11,116
0
-1,428
0
0
12,544
Annual IC Cost Burden (Dollars)
0
0
-90,944
0
0
90,944
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.