Information Collection

Participant Data Collection, agree to participate

IC 199417 under ICR 201109-1205-002 · OMB 1205-0494.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0494 can be found here:

Documents and Forms

Document Name Document Type
Form 627759 Participant Data Collection, agree to participate Form and Instruction
627759 Participant Tracking System 627759_YPDP-Attachment_A_PTS_(11-16-11).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Participant Data Collection, agree to participate	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	627759	Participant Tracking System	627759_YPDP-Attachment_A_PTS_(11-16-11).doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA-15	FR Citation: 67 FR 16898

Number of Respondents: 1,633	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,798	9,798
Annual IC Time Burden (Hours)	1,633	1,633
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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