Information Collection

Program Monitoring Report And Job Service Complaint Form

IC 168181 under ICR 198409-1205-006 · OMB 1205-0039.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	PROGRAM MONITORING REPORT AND JOB SERVICE COMPLAINT FORM	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 5-148				No	No
Form	ETA 8429				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	208	-3,400	3,608
Annual IC Time Burden (Hours)	5,608	0	5,608
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.