Information Collection

Student Safety Assessment Survey

IC 239906 under ICR 202002-1205-001 · OMB 1205-0542.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0542 can be found here:

Documents and Forms

Document Name Document Type
Student Safety Assessment English Script 031920.docx Other-Survey
Student Safety Assessment Spanish Script 031920.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Safety Assessment Survey	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
Other-Survey			Student Safety Assessment English Script 031920.docx		Yes	Yes	Fillable Fileable
Other-Survey			Student Safety Assessment Spanish Script 031920.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

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

Number of Respondents: 11,663	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	139,956	139,956
Annual IC Time Burden (Hours)	34,989	34,989
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.