Information Collection

Job Corps Placement and Assistance Record

IC 12956 under ICR 201306-1205-006 · OMB 1205-0035.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0035 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 678 Job Corps Placement and Assistance Record Form and Instruction
ETA 678 Job Corps Placement Record ETA FORM 678 job corps placement record (3).pdf Form and Instruction
ETA 678 Job Corps Placement Record 678_2013_logo_rev.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Job Corps Placement and Assistance Record	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 670

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 678	Job Corps Placement Record	ETA FORM 678 job corps placement record (3).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 678	Job Corps Placement Record	678_2013_logo_rev.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA-8	FR Citation: 67 FR 16815

Number of Respondents: 34,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	34,000	-6,000	40,000
Annual IC Time Burden (Hours)	4,210	-743	4,953
Annual IC Cost Burden (Dollars)	0	-39,737	39,737

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.