Information Collection

Employer/Institution Re-Verification

IC 204982 under ICR 202512-1205-005 · OMB 1205-0426.

Documents and Forms

Document Name Document Type
JC 1205-0426_Appendix D_Employer Survey.docx Other-Appendix D
JC 1205-0426_Appendix D_Employer Survey.docx Other-Appendix D

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employer/Institution Re-Verification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Appendix D			JC 1205-0426_Appendix D_Employer Survey.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: 600	Number of Respondents for Small Entity: 600

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

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	600	-4,400	5,000
Annual IC Time Burden (Hours)	60	-940	1,000
Annual IC Cost Burden (Dollars)	0	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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