Information Collection

Job Corps Placement and Assistance Record

IC 12956 under ICR 202503-1205-002 · OMB 1205-0035.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 678 Job Corps Placement Record Job Corps Placement and Assistance Record	Form
Instructions ETA 678 (cts_tech_guide).docx	Instruction
Instructions ETA 678 (cts_tech_guide).docx	Instruction
ETA 678 Job Corps Placement Record ETA 678 Placement Record_EO 14168_non-sub changes.docx	Form
ETA 678 Job Corps Placement Record ETA 678 Placement Record_EO 14168_non-sub changes.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 670.965

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
Instruction					Yes	Yes	Fillable Fileable
Form	ETA 678				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/GOVT-2

FR Citation: 67 FR 16815

Number of Respondents: 813

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	34,146	34,146
Annual IC Time Burden (Hours)	4,228	4,228
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.

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