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Federal forms, ICRs, and supporting documents

Information Collection Request

STATEMENT FROM COURT OR OTHER AGENCY, STATEMENT FROM INSTITUTION

ICR 199207-1205-004 · 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
120607 STATEMENT FROM COURT OR OTHER AGENCY, STATEMENT FROM INSTITUTION Form Migrated
ICR Details
1205-0026 199207-1205-004
Historical Active 199005-1205-003
DOL/ETA
STATEMENT FROM COURT OR OTHER AGENCY, STATEMENT FROM INSTITUTION
Revision of a currently approved collection   No
Regular
Approved without change 10/19/1992
Retrieve Notice of Action (NOA) 07/21/1992
Approved as amended by DOL's 10/16/92 memorandum to OMB. Approval is conditional on DOL providing a rationale for why Regional Job Corps directors should retain discretion to broaden behavior checks beyond two years for applicants who responded "yes" to item 24 of the Job Cor Data Sheet.
  Inventory as of this Action Requested Previously Approved
08/31/1995 08/31/1995 10/31/1992
15,000 0 15,400
6,420 0 6,545
0 0 0
THESE FORMS ARE AN ESSENTIAL PART OF THE SCREENING AND ADMISSIONS PROCESS FOR JOB CORPS. IT IS ESPECIALLY TRUE DUE TO THE RESIDENTIAL NATURE OF THE PROGRAM, WHERE BEHAVIORAL PROBLEMS CAN POSE A DANGER TO OTHER ENROLLEES. THE INFORMATION COLLECTED IS CRITICAL IN DETERMINING WHETHER OR NOT AN APPLICANT SHOULD BE ENROLLED.
None
None
No
1
IC Title Form No. Form Name
STATEMENT FROM COURT OR OTHER AGENCY, STATEMENT FROM INSTITUTION ETA 655, 655A
  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 15,000 15,400 0 -400 0 0
Annual Time Burden (Hours) 6,420 6,545 0 -125 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
07/21/1992