OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Senior Community Service Employment Program (SCSEP)

ICR 202401-1205-001 · OMB 1205-0040 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form ETA 9124A Participant Customer Satisfaction – ETA-9124A Form New Repair queued
Form ETA 9120, ETA 9121 ETA 5140 and ETA 9191 Form and Instruction Removed Repair queued
Form ETA 8705B Grantee Equitable Distribution Report Form Removed Repair queued
Form ETA 9124C2 Employer Customer Satisfaction – ETA-9124C2 Form Modified Repair queued
Form ETA 9124C2 Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2 Form Modified Missing upstream
Form ETA 9124B Host Agency Customer Satisfaction – ETA-9124B Form Modified Repair queued
Form ETA 9124C1 Employer Customer Satisfaction – ETA-9124C1 Form and Instruction Modified Repair queued
SCSEP CSS 1205-0040 Supporting Statement Part B_ clean.docx Supporting Statement B Uploaded 2024-03-13 Missing upstream
signed_PRA Signature Form_SCSEP_(2024_0206).pdf Supplementary Document Uploaded 2024-03-13 Repair queued
Additional Context for ICR Changes 10.18.21.docx Supplementary Document Uploaded 2021-10-18 Repair queued
signed_PRA Signature Form_SCSEP_(2021_1001).pdf Supplementary Document Uploaded 2021-10-04 Missing upstream
1205-0040 Supporting Statement - clean.docx Supporting Statement A Uploaded 2024-03-14 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
264386 Participant Customer Satisfaction – ETA-9124A Form New
249068 ETA 5140 and ETA 9191 Form and Instruction Removed
232731 Grantee Equitable Distribution Report Form Removed
232730 Employer Customer Satisfaction – ETA-9124C2 Form Modified
232726 Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2 Form Modified
215838 Participant Survey Pilot Project -- ETA-9124A Instruction Modified
185407 Host Agency Customer Satisfaction – ETA-9124B Form Modified
180160 Employer Customer Satisfaction – ETA-9124C1 Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyDOL/ETA
OMB Control No1205-0040
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No202108-1205-007
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31