Form ETA 661 ETA 661 Student Separation

OMB Control Number: 1205-0219
Expires: 05/31/2016
Public Burden Statement
ETA 661



OMB Control Number: 1205-0219
Persons are not required to respond to
this collection of information unless it
displays a currently valid OMB control
number and expiration date. Public
reporting burden for this collection of
information, which is required to obtain or
retain benefits (PL 113-128 Section
147), is estimated to average 60 minutes
per response, including the time for
reviewing instructions, searching existing
data sources, gathering and maintaining the
data needed, and the completing and
reviewing the collection of information. This
information collection is for program
management and Congressional reporting
purposes. Send comments regarding
this burden estimate or any other aspect
of this collection of information, including
suggestions for reducing this burden, to
the U.S. Department of Labor, Office of
Job Corps. Room N-4507,