Information Collection

Employer/Institution Re-Verification

IC 204982 under ICR 201608-1205-005 · OMB 1205-0426.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0426 can be found here:

Documents and Forms

Document Name Document Type
Appendix D_FINAL 4.29.16.pdf Other-survey questinonaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employer/Institution Re-Verification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-survey questinonaire			Appendix D_FINAL 4.29.16.pdf		Yes	Yes	Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/GOVT-2 (Job Corps Student Records)	FR Citation: 67 FR 16815

Number of Respondents: 5,000	Number of Respondents for Small Entity: 4,944

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	5,000	0	5,000
Annual IC Time Burden (Hours)	1,000	150	850
Annual IC Cost Burden (Dollars)	0	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.