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Center
Standard Job Corps Contractor Information Gathering
OMB: 1205-0219
IC ID: 272312
OMB.report
DOL/ETA
OMB 1205-0219
ICR 202411-1205-003
IC 272312
( )
Documents and Forms
Document Name
Document Type
Form ETA 6-131 A & B
Center
Form
ETA 6-131 A & B Disciplinary Discharge and Review Board Hearings
JC-ETA 6-131A and 6-131B Disciplinary Discharge_EO 14168 Changes.pdf
Form
ETA 6-131C Right to Appeal
ETA 6-131C Right to Appeal.docx
Form
ETA 640 Student Profile
ETA 640 Student Profile_EO 14168 Changes.docx
Form
ETA 661 Student Separation
ETA 661 Student Separation_EO 14168 Changes.docx
Form
ETA 9218 CDSS Center Operations Plan
ETA 9218 CDSS Center Operations Plan.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Center
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
ETA 6-131 A & B
Disciplinary Discharge and Review Board Hearings
JC-ETA 6-131A and 6-131B Disciplinary Discharge_EO 14168 Changes.pdf
Yes
Yes
Fillable Fileable
Form
ETA 6-131C
Right to Appeal
ETA 6-131C Right to Appeal.docx
Yes
Yes
Fillable Fileable
Form
ETA 640
Student Profile
ETA 640 Student Profile_EO 14168 Changes.docx
Yes
Yes
Fillable Fileable
Form
ETA 661
Student Separation
ETA 661 Student Separation_EO 14168 Changes.docx
Yes
Yes
Fillable Fileable
Form
ETA 9218
CDSS Center Operations Plan
ETA 9218 CDSS Center Operations Plan.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. (Job Corps Student Records)
FR Citation:
67 FR 16815
Number of Respondents:
726
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 %
Requested
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
137,240
0
137,240
0
0
0
Annual IC Time Burden (Hours)
25,418
0
25,418
0
0
0
Annual IC Cost Burden (Dollars)
0
0
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.