This form requests information on the age, marital status, employment, education and income of applicant for training or job placement services. This information is used to determine applicant's eligibility and amount of financial assistance needed.
The burden was reduced due to expiration of the information collection, but is now an increase because although the law only requires an annual reporting on program status, the Government Performance Results Act requires quarterly reports.
$3,840
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Lynn Forcia 202 219-5270
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.