Information Collection

The Job Corps Health Management Information System

IC 120684 under ICR 197812-1205-003 · OMB 1205-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0037 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	THE JOB CORPS HEALTH MANAGEMENT INFORMATION SYSTEM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	MA 6-124,	No	No
Form	125, 127,	No	No
Form	128	No	No
Form	MA 6-124	No	No
Form	MA 6-125	No	No
Form	MA 6-127	No	No
Form	MA 6-128	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 95	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,116	1,116
Annual IC Time Burden (Hours)	1,736	1,736
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.