Student Safety Assessment Survey (Sampling)

Student Safety Assessment of Job Corps Centers

Documents and Forms

Document Name Document Type
Student Safety Assessment English Script 031920.docx Other-Survey
Student Safety Assessment English Script 031920.docx Other-Survey
Student Safety Assessment Spanish Script 031920.docx Other-Survey
Student Safety Assessment Spanish Script 031920.docx Other-Survey
1205-0542 SSA Appendix C 5.22.23.docx Other-Appendix
1205-0542 SSA Appendix C 5.22.23.docx Other-Appendix

Information Collection (IC) Details

IC Title:	Student Safety Assessment Survey (Sampling)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 70 29 CFR 7

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Student Safety Assessment English Script 031920.docx	Yes	Yes	Fillable Fileable
Other-Survey	Student Safety Assessment Spanish Script 031920.docx	Yes	Yes	Fillable Fileable
Other-Appendix	1205-0542 SSA Appendix C 5.22.23.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: Job Corps Student Records (DOL/GOVT-2)	FR Citation: 67 FR 16815

Number of Respondents: 11,806	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	141,672	1,716	139,956
Annual IC Time Burden (Hours)	35,418	429	34,989
Annual IC Cost Burden (Dollars)	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.