Student Safety Assessment of Job Corps Centers

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
EO 14168_Non Substantitive_1205-0542_SSA.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-13	Repair queued
EO 14168_Non Substantitive_1205-0542_SSA.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-13	Repair queued
1205-0542 SSA Appendix C 5.22.23.docx	Supplementary Document	Uploaded 2023-05-24	Repair queued
1205-0542 SSA Appendix C 5.22.23.docx	Supplementary Document	Uploaded 2023-05-24	Repair queued
signed_PRA Signature Form_SSA_(2023_0524).pdf	Supplementary Document	Uploaded 2023-05-24	Repair queued
signed_PRA Signature Form_SSA_(2023_0524).pdf	Supplementary Document	Uploaded 2023-05-24	Repair queued
1205-0542 SSA Appendix A English Script - Clean 4.11.24.docx	Supporting Statement B	Uploaded 2024-04-11	Repair queued
1205-0542 SSA Appendix A English Script - Clean 4.11.24.docx	Supporting Statement B	Uploaded 2024-04-11	Repair queued
1205-0542 SSA Appendix A English Script - Clean 4.11.24.docx	Supporting Statement A	Uploaded 2024-04-11	Repair queued
1205-0542 SSA Appendix A English Script - Clean 4.11.24.docx	Supporting Statement A	Uploaded 2024-04-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
260379	SSA Survey (Census)	Other-Survey	Modified
239906	Student Safety Assessment Survey (Sampling)	Other-Survey	Modified

ICR Details

OMB Control No: 1205-0542	ICR Reference No: 202503-1205-006
Status: Active	Previous ICR Reference No: 202305-1205-004
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Student Safety Assessment of Job Corps Centers
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/23/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/09/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	04/30/2027	04/30/2027
Responses	230,072	0	230,072
Time Burden (Hours)	57,518	0	57,518
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Labor’s Office of Job Corps conducts a Student Safety Assessment. Thes collection of information through this assessment is necessary for program evaluation to gauge active students’ sense of safety and security at centers.

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Authorizing Statute(s): US Code: 5 USC 552 Name of Law: Freedom of Information Act
   US Code: 5 USC 552(a) Name of Law: Privacy Act of 1974
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 7997	02/07/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 41420	06/26/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
SSA Survey (Census)
Student Safety Assessment Survey (Sampling)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	230,072	230,072	0	0	0	0
Annual Time Burden (Hours)	57,518	57,518	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $374,137

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/09/2025

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