Job Corps Application Data

OMB Control No: 1205-0025	ICR Reference No: 202212-1205-008
Status: Historical Active	Previous ICR Reference No: 202003-1205-003
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Job Corps Application Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/05/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/28/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2026	36 Months From Approved	04/30/2023
Responses	139,948	0	139,814
Time Burden (Hours)	11,421	0	12,544
Cost Burden (Dollars)	0	0	90,944

---

Abstract: ETA 652, Job Corps Applicant Data Sheet, is critical to the screening process. This form is completed by the admissions representative in collaboration with each applicant to determine the applicant’s eligibility for the Job Corps program in accordance with WIOA and Job Corps policy and to collect socio-demographic and employment barriers information for program planning, evaluation, and data reporting purposes. This ICR also contains verbal questions on dependents and childcare.

---

Authorizing Statute(s): US Code: 29 USC 3194-3195 Name of Law: Workforce Innovation and Opportunity Act

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 31912	05/25/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 12698	02/28/2023
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title Form No. Form Name Job Corps Application Data ETA 652 Job Corps Applicant Data Sheet Verbal Verification of Childcare Verbal Verification of Dependents

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	139,948	139,814	0	134	0	0
Annual Time Burden (Hours)	11,421	12,544	0	-1,123	0	0
Annual Cost Burden (Dollars)	0	90,944	0	-90,944	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Revisions of the collection of information includes collecting the social security number on the redesigned ETA 652. The collection of the SSN allows OJC to conduct an applicants’ background check as a part of the program eligibility process. Currently, the Admission Counselor (AC) uses an online or electronic system to conduct the background check. Hard copy results are then attached to the ETA 655. Most of the data points from the ETA 655 have been merged into the redesigned ETA 652. Therefore, there is no need for the ETA 655. In the previous submission, it was estimated that it would take respondents 1 minute to complete the Form 655. ETA estimates that the time it takes to complete the information previously on the Form 655 is absorbed into the 10 minutes it takes to complete the Form 652. This leads to a corresponding burden reduction of 1,111 hours. The ETA 682 is being eliminated and replaced with a verbal question during admission whether a participant has childcare (as applicable). OJC has recently made a change to its policy and no longer requires applicants to provide childcare provider information. All applicants are asked if they have dependents. If the response is “yes,” then they’re asked if they have childcare. Applicants are no longer required to report the name and address of their childcare facility. As a result, there has been a decrease in burden per respondent to 15 seconds for all respondents, and 15 seconds for affected respondents. This has led to a decrease in overall burden by 23 hours. The number of estimated applicants is based on PY 2021 data, which is relatively unchanged from the currently approved collection at 66,630 vs 66,697. The $90,944 reported in the previous submission as a cost was a reporting error as that was actually the monetized value of the time burden.

---

Annual Cost to Federal Government: $543,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Patrice Gibson 202 693-0158 [email protected]

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 02/28/2023

---