Information Collection

Center

IC 272312 under ICR 202411-1205-003 · OMB 1205-0219.

Documents and Forms

Document Name Document Type
Form ETA 6-131 A & B Center Form
Form ETA 6-131 A & B Disciplinary Discharge and Review Board Hearings Center Form
Form ETA 6-131C Right to Appeal Center Form
Form ETA 640 Student Profile Center Form
Form ETA 661 Student Separation Center Form
Form ETA 9218 CDSS Center Operations Plan Center Form
ETA 6-131 A & B Disciplinary Discharge and Review Board Hearings JC-ETA 6-131A and 6-131B Disciplinary Discharge_EO 14168 Changes.pdf Form
ETA 6-131 A & B Disciplinary Discharge and Review Board Hearings JC-ETA 6-131A and 6-131B Disciplinary Discharge_EO 14168 Changes.pdf Form
ETA 6-131C Right to Appeal ETA 6-131C Right to Appeal.docx Form
ETA 6-131C Right to Appeal ETA 6-131C Right to Appeal.docx Form
ETA 640 Student Profile ETA 640 Student Profile_EO 14168 Changes.docx Form
ETA 640 Student Profile ETA 640 Student Profile_EO 14168 Changes.docx Form
ETA 661 Student Separation ETA 661 Student Separation_EO 14168 Changes.docx Form
ETA 661 Student Separation ETA 661 Student Separation_EO 14168 Changes.docx Form
ETA 9218 CDSS Center Operations Plan ETA 9218 CDSS Center Operations Plan.docx Form
ETA 9218 CDSS Center Operations Plan ETA 9218 CDSS Center Operations Plan.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Center	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 6-131 A & B	Disciplinary Discharge and Review Board Hearings	JC-ETA 6-131A and 6-131B Disciplinary Discharge_EO 14168 Changes.pdf	Yes	Yes	Fillable Fileable
Form	ETA 6-131C	Right to Appeal	ETA 6-131C Right to Appeal.docx	Yes	Yes	Fillable Fileable
Form	ETA 640	Student Profile	ETA 640 Student Profile_EO 14168 Changes.docx	Yes	Yes	Fillable Fileable
Form	ETA 661	Student Separation	ETA 661 Student Separation_EO 14168 Changes.docx	Yes	Yes	Fillable Fileable
Form	ETA 9218	CDSS Center Operations Plan	ETA 9218 CDSS Center Operations Plan.docx	Yes	Yes	Fillable Fileable

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: 726	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	137,240	137,240
Annual IC Time Burden (Hours)	25,418	25,418
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.

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