Information Collection

The Job Corps Health Management Information System

IC 168179 under ICR 198107-1205-015 · OMB 1205-0037.

Documents and Forms

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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	MA 6-124	No	No
Form	128	No	No
Form	MA 6-125	No	No
Form	125, 127,	No	No
Form	MA 6-128	No	No
Form	MA 6-127	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,818	702	1,116
Annual IC Time Burden (Hours)	3,000	1,264	1,736
Annual IC Cost Burden (Dollars)	0	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.

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