OMB control number

Job Corps Application Data

OMB 1205-0025 · DOL/ETA.

OMB 1205-0025

ETA 652, Job Corps Applicant Data Sheet, is critical to the screening process. This form is completed by the admissions representative in collaboration with each applicant to determine the applicant’s eligibility for the Job Corps program in accordance with WIOA and Job Corps policy and to collect socio-demographic and employment barriers information for program planning, evaluation, and data reporting purposes. This ICR also contains verbal questions on dependents and childcare.

The latest form for Job Corps Application Data expires 2026-07-31 and is listed under ICR 202503-1205-007.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202601-1205-001 Revision of a currently approved collection 2026-02-23
202503-1205-007 No material or nonsubstantive change to a currently approved collection 2025-04-09
202212-1205-008 Revision of a currently approved collection 2023-02-28 Approved without change
202003-1205-003 Revision of a currently approved collection 2020-03-27 Approved without change
201612-1205-003 Extension without change of a currently approved collection 2017-01-31 Approved without change
201306-1205-004 Extension without change of a currently approved collection 2013-11-08 Approved without change
201004-1205-001 Reinstatement with change of a previously approved collection 2010-08-30 Approved with change
200701-1205-003 Extension without change of a currently approved collection 2007-02-13 Approved with change
200312-1205-002 Revision of a currently approved collection 2003-12-29 Approved with change
200007-1205-003 Reinstatement with change of a previously approved collection 2000-07-14 Approved without change
199305-1205-002 Extension without change of a currently approved collection 1993-05-03 Approved without change
199003-1205-003 Extension without change of a currently approved collection 1990-03-29 Approved without change
198710-1205-001 Revision of a currently approved collection 1987-10-05 Approved without change
198705-1205-003 Revision of a currently approved collection 1987-05-05 Approved without change
198404-1205-002 Revision of a currently approved collection 1984-04-09 Approved without change
198209-1205-009 Reinstatement with change of a previously approved collection 1982-09-01 Approved without change
198203-1205-004 Reinstatement with change of a previously approved collection 1982-03-03 Approved without change
198107-1205-010 No material or nonsubstantive change to a currently approved collection 1981-07-30 Approved with change
197908-1205-001 Revision of a currently approved collection 1979-08-30 Approved without change
197711-1205-001 Revision of a currently approved collection 1977-11-01 Approved without change
197708-1205-001 Revision of a currently approved collection 1977-08-03 Approved without change
197704-1205-001 Revision of a currently approved collection 1977-04-05 Approved without change
197509-1205-002 No material or nonsubstantive change to a currently approved collection 1975-09-23 Approved with change

OMB Details

Job Corps Application Data

Federal Enterprise Architecture: Workforce Management - Training and Employment

Information collection instruments
FormNameElectronic accessType
Form ETA 652Job Corps Applicant Data SheetFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.