OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Job Corps Health Questionnaire

OMB 1205-0033 ยท DOL/ETA.

OMB 1205-0033

Information on the health status of an applicant to Job Corps is obtained when the applicant completes ETA 653 during an interview with the admissions counselor as part of the admissions process.

The latest form for Job Corps Health Questionnaire expires 2026-12-31 and is listed under ICR 202503-1205-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form ETA 653 Job Corps Health QuestionnaireForm and Instruction
Form ETA 653 Job Corps Health QuestionnaireForm and Instruction
EO 14168_Non Substantiative_1205-0033_ETA 653 Health Questionnaire.docxJustification for No Material/Nonsubstantive Change
Appendix 601 Student Rights to Privacy and Disclosure of Information.pdfSupplementary Document
Job Corps Appendix 601 - Student Rights to Privacy and Disclosure of Information.pdfSupplementary Document
1205-0033 Supporting Statement - 11.29.2023_CLEAN.docxSupporting Statement A
Job Corps Health Questionnaire Form and Instruction
Job Corps Health Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202503-1205-004 No material or nonsubstantive change to a currently approved collection 2025-04-09
202305-1205-001 Revision of a currently approved collection 2023-05-19 Approved with change
202003-1205-002 Revision of a currently approved collection 2020-05-04 Approved with change
201703-1205-001 Revision of a currently approved collection 2017-03-21 Approved with change
201306-1205-001 Revision of a currently approved collection 2014-01-28 Approved without change
201010-1205-010 Extension without change of a currently approved collection 2010-11-26 Approved without change
200706-1205-011 Revision of a currently approved collection 2007-06-28 Approved with change
200405-1205-001 Revision of a currently approved collection 2004-05-14 Approved without change
200010-1205-001 Reinstatement with change of a previously approved collection 2000-10-25 Approved without change
200008-1205-003 Reinstatement with change of a previously approved collection 2000-08-17 Withdrawn
199705-1205-005 No material or nonsubstantive change to a currently approved collection 1997-05-03 Approved without change
199611-1205-008 Reinstatement with change of a previously approved collection 1996-11-22 Approved without change
199306-1205-003 Extension without change of a currently approved collection 1993-06-18 Approved without change
199003-1205-002 Revision of a currently approved collection 1990-03-26 Approved without change
198910-1205-009 Revision of a currently approved collection 1989-10-30 Approved without change
198807-1205-007 Revision of a currently approved collection 1988-07-15 Approved without change
198705-1205-004 Revision of a currently approved collection 1987-05-07 Approved without change
198610-1205-005 Revision of a currently approved collection 1986-10-22 Withdrawn and continue
198605-1205-002 Extension without change of a currently approved collection 1986-05-27 Approved without change
198410-1205-001 Extension without change of a currently approved collection 1984-10-30 Approved without change
198209-1205-011 Reinstatement with change of a previously approved collection 1982-09-01 Approved without change
197709-1205-002 Revision of a currently approved collection 1977-09-22 Approved without change
197709-1205-001 Revision of a currently approved collection 1977-09-21 Approved without change
197703-1205-005 Extension without change of a currently approved collection 1977-03-02 Approved without change