Application for Job Placement and Training Services

ICR 200708-1076-002

OMB: 1076-0062

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
Modified
Supplementary Document
2007-12-07
Supplementary Document
2007-08-30
Supporting Statement A
2008-03-05
ICR Details
1076-0062 200708-1076-002
Historical Active 200403-1076-002
DOI/BIA
Application for Job Placement and Training Services
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 03/27/2008
Retrieve Notice of Action (NOA) 12/13/2007
  Inventory as of this Action Requested Previously Approved
03/31/2011 36 Months From Approved
19,600 0 0
9,800 0 0
0 0 0

This form requests information on the age, marital status, employment, education and income of applicant for training or job placement services. This information is used to determine applicant's eligibility and amount of financial assistance needed.

US Code: 25 USC 13 Name of Law: null
   Statute at Large: 70 Stat. 986 Name of Statute: null
   Statute at Large: 77 Stat. 471 Name of Statute: null
  
None

Not associated with rulemaking

  72 FR 37043 07/06/2007
72 FR 69224 12/07/2007
No

  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 19,600 0 0 13,620 1,080 4,900
Annual Time Burden (Hours) 9,800 0 0 6,810 540 2,450
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The burden was reduced due to expiration of the information collection, but is now an increase because although the law only requires an annual reporting on program status, the Government Performance Results Act requires quarterly reports.

$3,840
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Lynn Forcia 202 219-5270

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/13/2007


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