OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Senior Community Service Employment Program (SCSEP)

OMB 1205-0040 · DOL/ETA.

OMB 1205-0040

The Senior Community Service Employment Program (SCSEP), is a community service and work-based training program for older workers. The program provides subsidized, work-experience training for low-income persons 55 or older who are unemployed and have poor employment prospects. SCSEP national grants are awarded through a competitive process; state and territorial grants are awarded through a formula outlined in the OAA-2016 Section 506 (b-c). The dual goals of the program are to promote useful community service employment activities and to move SCSEP participants into unsubsidized employment, so that they can achieve economic self-sufficiency. The Department is required to collect the information in order to comply with the OAA statutory and regulatory requirements. The information is also necessary for grantee performance accountability and program management.

The latest form for Senior Community Service Employment Program (SCSEP) expires 2027-05-31 and is listed under ICR 202605-1205-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form ETA 9124A Participant Customer Satisfaction – ETA-9124AForm
Form ETA 9120, ETA 9121 ETA 5140 and ETA 9191Form and Instruction
Form ETA 8705B Grantee Equitable Distribution ReportForm
Form ETA 9124C2 Employer Customer Satisfaction – ETA-9124C2Form
Form ETA 9124C2 Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2Form
Form ETA 9124B Host Agency Customer Satisfaction – ETA-9124BForm
Form ETA 9124C1 Employer Customer Satisfaction – ETA-9124C1Form and Instruction
SCSEP CSS 1205-0040 Supporting Statement Part B_ clean.docxSupporting Statement B
signed_PRA Signature Form_SCSEP_(2024_0206).pdf Supplementary Document
Additional Context for ICR Changes 10.18.21.docx Supplementary Document
signed_PRA Signature Form_SCSEP_(2021_1001).pdf Supplementary Document
1205-0040 Supporting Statement - clean.docxSupporting Statement A
Participant Customer Satisfaction – ETA-9124A Form
ETA 5140 and ETA 9191 Form and Instruction
Grantee Equitable Distribution Report Form
Employer Customer Satisfaction – ETA-9124C2 Form
Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2 Form
Participant Survey Pilot Project -- ETA-9124A Instruction
Host Agency Customer Satisfaction – ETA-9124B Form
Employer Customer Satisfaction – ETA-9124C1 Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202401-1205-001 Revision of a currently approved collection 2024-04-18 Approved without change
202108-1205-007 Revision of a currently approved collection 2021-10-18 Approved with change
201808-1205-001 Revision of a currently approved collection 2018-08-31 Approved without change
201608-1205-001 No material or nonsubstantive change to a currently approved collection 2016-08-09 Withdrawn and continue
201603-1205-006 No material or nonsubstantive change to a currently approved collection 2016-03-21 Approved without change
201601-1205-002 No material or nonsubstantive change to a currently approved collection 2016-03-01 Withdrawn and continue
201509-1205-002 No material or nonsubstantive change to a currently approved collection 2015-10-17 Approved without change
201411-1205-004 Revision of a currently approved collection 2015-03-31 Approved with change
201207-1205-003 No material or nonsubstantive change to a currently approved collection 2012-07-10 Approved without change
201203-1205-010 Revision of a currently approved collection 2012-03-29 Approved without change
201104-1205-005 Revision of a currently approved collection 2012-01-26 Preapproved
201103-1205-009 Reinstatement with change of a previously approved collection 2011-03-30 Approved without change
201010-1205-008 Revision of a currently approved collection 2010-10-29 Withdrawn
200806-1205-007 No material or nonsubstantive change to a currently approved collection 2008-06-20 Approved without change
200704-1205-001 Revision of a currently approved collection 2007-07-05 Approved without change
200606-1205-001 Revision of a currently approved collection 2006-06-13 Approved without change
200509-1205-004 Revision of a currently approved collection 2005-09-06 Approved with change
200410-1205-005 No material or nonsubstantive change to a currently approved collection 2004-10-29 Approved without change
200406-1205-004 No material or nonsubstantive change to a currently approved collection 2004-06-23 Approved without change
200404-1205-001 Revision of a currently approved collection 2004-04-08 Approved with change
200312-1205-003 Revision of a currently approved collection 2003-12-29 Approved without change
200304-1205-002 Revision of a currently approved collection 2003-04-28 Comment filed on proposed rule and continue
200006-1205-002 Reinstatement with change of a previously approved collection 2000-06-09 Approved without change
199411-1205-003 Reinstatement without change of a previously approved collection 1994-11-28 Approved without change
199107-1205-005 Revision of a currently approved collection 1991-07-25 Approved without change
198904-1205-003 Revision of a currently approved collection 1989-04-06 Approved without change
198806-1205-003 No material or nonsubstantive change to a currently approved collection 1988-06-08 Approved with change
198512-1205-005 No material or nonsubstantive change to a currently approved collection 1985-12-23 Approved with change
198508-1205-002 Reinstatement with change of a previously approved collection 1985-08-05 Approved without change
197802-1205-001 Extension without change of a currently approved collection 1978-02-01 Approved without change
197801-1205-004 Extension without change of a currently approved collection 1978-01-31 Approved without change
197512-1205-001 New collection (Request for a new OMB Control Number) 1975-12-11 Approved without change

OMB Details

Employer Customer Satisfaction – ETA-9124C1

Federal Enterprise Architecture: Community and Social Services - Community and Regional Development

Information collection instruments
FormNameElectronic accessType
Form ETA 9124C1Employer SurveyFillable FileableForm and instruction

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