Information Collection

Service Receipt Log

IC 276097 under ICR 202507-1290-001 · OMB unassigned.

Documents and Forms

Document Name Document Type
T2-2025-06 SCC4_Appendix J. Service receipt log_6-11 to DOL 7.11.25.docx Other-Receipt log survey
T2-2025-06 SCC4_Appendix J. Service receipt log_6-11 to DOL 7.11.25.docx Other-Receipt log survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Service Receipt Log	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Receipt log survey			T2-2025-06 SCC4_Appendix J. Service receipt log_6-11 to DOL 7.11.25.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	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
Annual Number of Responses for this IC	16,575	16,575
Annual IC Time Burden (Hours)	553	553
Annual IC Cost Burden (Dollars)	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.

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