Information Collection Request
Job Corps Health Questionnaire
ICR 202503-1205-004 · OMB 1205-0033 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form ETA 653 Job Corps Health Questionnaire |
Form and Instruction | Modified | Repair queued |
 EO 14168_Non Substantiative_1205-0033_ETA 653 Health Questionnaire.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-13 | Repair queued |
 Appendix 601 Student Rights to Privacy and Disclosure of Information.pdf |
Supplementary Document | Uploaded 2023-11-29 | Repair queued |
| Job Corps Appendix 601 - Student Rights to Privacy and Disclosure of Information.pdf |
Supplementary Document | Uploaded 2017-03-10 | Repair queued |
| 1205-0033 Supporting Statement - 11.29.2023_CLEAN.docx |
Supporting Statement A | Uploaded 2023-11-29 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 12954 |  Job Corps Health Questionnaire |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/ETA |
| OMB Control No | 1205-0033 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202305-1205-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |