OMB control number

Standard Job Corps Contractor Information Gathering

OMB 1205-0219 · DOL/ETA.

OMB 1205-0219

These operating and/or reporting forms are standard for the operation of a Job Corps Center. They are Federal information collection requirements for operators of such centers. Job Corps has automated the following Employment and Training Administration (ETA) forms: 2110, 2181, 6-131A, 6-131B, 6-131C, 640, 661, and 328.

The latest form for Standard Job Corps Contractor Information Gathering expires 2029-03-31 and is listed under ICR 202411-1205-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form ETA 9190A, 9190B a Grant Data Collection Form	Form
Form ETA 9190A, 9190B a Performance	Form
Form ETA 9215 Physical Examination Form	Form
Form ETA 9213 Immunization Record	Form
Form ETA 9217 Lab Testing Information Sheet	Form
Form ETA 9216 Health History Form	Form
Form ETA 9214 Social Intake Form	Form
Form ETA 9212 Alcohol Testing Report	Form
Form ETA 9222 Health and Wellness Center Annual Program Description	Form
Form ETA 9222 Health and Wellness	Form
Form ETA 2181 Center Operations Bugget	Form
Form ETA 2110 S Center Vacancy Separation Report	Form
Form ETA 2110 Center Financial Report	Form
Form ETA 2110 Finance	Form
Form ETA 328 Property Inventory	Form
Form ETA 9220 Center Preventive Maintenance Plan (PMP)	Form
Form ETA 9221 Construction and Rehab Report (CRA)	Form and Instruction
Form ETA 6-39 Inspection of Waste Treatment Facilities Cost	Form
Form ETA 6-38 Inspection of Water Supply Facilities	Form
Form ETA 6-37 Inspection of Residential and Educational Facilities	Form
Form ETA 6-36 Environmental Health Inspections	Form
Form ETA 6-36 Facilities and Asset Management	Form
Form ETA 9218 CDSS Center Operations Plan	Form
Form ETA 661 Student Separation	Form
Form ETA 640 Student Profile	Form
Form ETA 6-131C Right to Appeal	Form
Form ETA 6-131 A & B Disciplinary Discharge and Review Board Hearings	Form
Form ETA 6-131 A & B Center	Form
Form ETA 9219 Annual Career Technical Skills Training	Form
Form ETA 9219 Career Technical Training (CTT)	Form
Form ETA 6-39 Inspection of Waste Water Treatment Facilities	Form
Form ETA 6-38 Inspection of Water and Supply Facilities	Form
Form ETA 6-37 Inspection of Residential and Educational Facilities	Form
Form ETA 6-36 Environmental Health Inspection	Form
Form ETA 9190 Grants Data Collection Forms	Form
Form ETA 2181 Center Operations Budget	Form
Form ETA 2110 Center Financial Report	Form
Form ETA 661 Student Seperation	Form
Form ETA 9192 Annual Center Academic Programs Review and Planning	Form
Form ETA 640 Student Profile	Form
Form ETA 328 Property Inventory	Form
Form ETA 6-131C Right to Appeal	Form
Form ETA 6-131A and 6-1 Disciplinary Discharge	Form
Form ETA 6-131A and 6-1 Standard Job Corps reporting forms	Form
1205-0219_Supporting Statement_11.15.24.docx	Supporting Statement A
1205-0219_Supporting Statement_11.15.24.docx	Supporting Statement A
Performance	Form
Performance	Form
Health and Wellness	Form
Health and Wellness	Form
Health and Wellness	Form
Health and Wellness	Form
Health and Wellness	Form
Health and Wellness	Form
Health and Wellness	Form
Health and Wellness	Form
Finance	Form
Finance	Form
Finance	Form
Finance	Form
Facilities and Asset Management	Form
Facilities and Asset Management	Form
Facilities and Asset Management	Form and Instruction
Facilities and Asset Management	Form
Facilities and Asset Management	Form
Facilities and Asset Management	Form
Facilities and Asset Management	Form
Facilities and Asset Management	Form
Center	Form
Center	Form
Center	Form
Center	Form
Center	Form
Center	Form
Career Technical Training (CTT)	Form
Career Technical Training (CTT)	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form
Standard Job Corps reporting forms	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202411-1205-003	Revision of a currently approved collection	2025-05-09
202202-1205-001	Revision of a currently approved collection	2022-04-07	Approved without change
201907-1205-006	Revision of a currently approved collection	2019-08-30	Approved without change
201608-1205-009	Revision of a currently approved collection	2016-08-29	Approved without change
201605-1205-005	Extension without change of a currently approved collection	2016-05-31	Preapproved
201503-1205-007	Revision of a currently approved collection	2015-04-16	Comment filed on proposed rule and continue
201212-1205-013	Revision of a currently approved collection	2013-02-27	Approved without change
200901-1205-001	Revision of a currently approved collection	2009-07-29	Approved without change
200604-1205-001	Extension without change of a currently approved collection	2006-04-25	Approved without change
200501-1205-004	No material or nonsubstantive change to a currently approved collection	2005-01-10	Approved without change
200306-1205-001	Revision of a currently approved collection	2003-06-20	Approved without change
200002-1205-004	Reinstatement with change of a previously approved collection	2000-02-02	Approved without change
199506-1205-005	Extension without change of a currently approved collection	1995-06-28	Approved without change
199308-1205-007	Reinstatement with change of a previously approved collection	1993-08-23	Approved without change
199210-1205-003	Reinstatement with change of a previously approved collection	1992-10-05	Approved without change
198905-1205-007	Revision of a currently approved collection	1989-05-31	Approved without change
198703-1205-001	Revision of a currently approved collection	1987-03-19	Approved without change
198606-1205-003	Revision of a currently approved collection	1986-06-12	Approved without change
198412-1205-004	Revision of a currently approved collection	1984-12-28	Approved without change
198311-1205-001	New collection (Request for a new OMB Control Number)	1983-11-04	Approved without change

OMB Details

Standard Job Corps reporting forms

Federal Enterprise Architecture: Workforce Management - Training and Employment

Information collection instruments
Form	Name	Electronic access	Type
Form ETA 9190	Grants Data Collection Forms	Fillable Fileable	Form
Form ETA 6-39	Inspection of Waste Water Treatment Facilities	Fillable Fileable	Form
Form ETA 6-38	Inspection of Water and Supply Facilities	Fillable Fileable	Form
Form ETA 6-37	Inspection of Residential and Educational Facilities	Fillable Fileable	Form
Form ETA 6-36	Environmental Health Inspection	Fillable Fileable	Form
Form ETA 2181	Center Operations Budget	Fillable Fileable	Form
Form ETA 2110	Center Financial Report	Fillable Fileable	Form
Form ETA 9192	Annual Center Academic Programs Review and Planning	Fillable Fileable	Form
Form ETA 640	Student Profile	Fillable Fileable	Form
Form ETA 328	Property Inventory	Fillable Fileable	Form
Form ETA 6-131C	Right to Appeal	Fillable Fileable	Form
Form ETA 6-131A and 6-131B	Disciplinary Discharge	Fillable Fileable	Form
Form ETA 661	Student Seperation	Fillable Fileable	Form

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