Information Collection

Work Experience and Career Exploration Program Application

IC 13796 under ICR 201003-1235-011 · OMB 1235-0011.

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Information Collection (IC) Details

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IC Title:	Work Experience and Career Exploration Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 570.35a(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7	-14,007	14,014
Annual IC Time Burden (Hours)	14	-14,131	14,145
Annual IC Cost Burden (Dollars)	3	3	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.