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Federal forms, ICRs, and supporting documents

Information Collection Request

STATEMENT FROM COURT OR OTHER AGENCIES, STATEMENT FROM INSTITUTIONS, RECOMMENDATION FOR JOB CORPS

ICR 198203-1205-005 · OMB 1205-0026 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
120602 STATEMENT FROM COURT OR OTHER AGENCIES, STATEMENT FROM INSTITUTIONS, RECOMMENDATION FOR JOB CORPS Form Migrated
ICR Details
1205-0026 198203-1205-005
Historical Active 198107-1205-011
DOL/ETA
STATEMENT FROM COURT OR OTHER AGENCIES, STATEMENT FROM INSTITUTIONS, RECOMMENDATION FOR JOB CORPS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/26/1982
Retrieve Notice of Action (NOA) 03/03/1982
  Inventory as of this Action Requested Previously Approved
05/31/1982 05/31/1982
27,000 0 0
10,800 0 0
0 0 0
TO CARRY OUT TITLE IV, SECT. 453 OF CETA. THESE FORMS ARE INTEGRAL PARTS OF THE SCREENING AND ADMISSIONS PROCESS FOR JOB CORPS ENROLLMENT. PARTICULARLY DUE TO THE RESIDENTIAL NATURE OF THE PROGRAM, WHEN A YOUTH HAS A HISTORY OF SERIOUS JUVENILE DELINQUENCY, THESE STATEMENTS OR RECOMMENDATIONS ARE REQUIRED TO BE TRANSMITTED BY THE SCREENER WITH THE JOB CORPS DATA SHEET.
None
None
No
1
IC Title Form No. Form Name
STATEMENT FROM COURT OR OTHER AGENCIES, STATEMENT FROM INSTITUTIONS, RECOMMENDATION FOR JOB CORPS ETA 655,, 655A, &, 655B
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 27,000 0 0 0 27,000 0
Annual Time Burden (Hours) 10,800 0 0 0 10,800 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/03/1982