Information Collection

Statement From Court Or Other Agencies, Statement From Institutions, Recommendation For Job Corps

IC 120603 under ICR 198209-1205-010 · OMB 1205-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0026 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	STATEMENT FROM COURT OR OTHER AGENCIES, STATEMENT FROM INSTITUTIONS, RECOMMENDATION FOR JOB CORPS	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	ETA 655,	No	No
Form	655A, &	No	No
Form	655B	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,500	13,500
Annual IC Time Burden (Hours)	5,040	5,040
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.