OMB
.report
Search
Standard Job Corps reporting forms
Standard Job Corps Contractor Information Gathering
OMB: 1205-0219
IC ID: 13047
OMB.report
DOL/ETA
OMB 1205-0219
ICR 201608-1205-009
IC 13047
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0219 can be found here:
2022-04-07 - Revision of a currently approved collection
2019-08-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form ETA 661
Standard Job Corps reporting forms
Form
ETA 661 Student Separation
ETA 661 Student Separation 6.28.16.pdf
Form
ETA 640 Student Profile
ETA 640 Student Profile 6.28.16.pdf
Form
ETA 2110 Center Financial Report
eta 2110 Center Financial report.pdf
Form
ETA 2181 Center Operations Budget
eta 2181 Center Operations Budget.pdf
Form
ETA 6-131A and 6-1 Disciplinary Discharge
ETA 6-131A and 6-131B Disciplinary Discharge 6.28.16.pdf
Form
ETA 6-131C Right to Appeal
ETA 6-131C Right to Appeal 6.28.16.pdf
Form
ETA 328 Property Inventory
ETA 328 Property Inventory 6.28.16.pdf
Form
6-37 INSPECTION OF RESIDENTIAL AND EDUCATIONAL FACILITIES
Inspection of Residential and Educational Facilities_OJC 6-37.pdf
Form
6-39 INSPECTION OF WASTEWATER TREATMENT FACILITIES
Inspection of WasteWater Treatment Facilities_OJC 6-39.pdf
Form
6-38 INSPECTION OF WATER SUPPLY FACILITIES
Inspection of Water and Supply Facilities_OJC 6-38.pdf
Form and Instruction
privacy2-3.gif
Privacy Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Standard Job Corps reporting forms
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 686
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA 661
Student Separation
ETA 661 Student Separation 6.28.16.pdf
Yes
Yes
Fillable Fileable
Form
ETA 640
Student Profile
ETA 640 Student Profile 6.28.16.pdf
Yes
Yes
Fillable Fileable
Form
ETA 2110
Center Financial Report
eta 2110 Center Financial report.pdf
Yes
Yes
Fillable Fileable
Form
ETA 2181
Center Operations Budget
eta 2181 Center Operations Budget.pdf
Yes
Yes
Fillable Fileable
Form
ETA 6-131A and 6-131B
Disciplinary Discharge
ETA 6-131A and 6-131B Disciplinary Discharge 6.28.16.pdf
Yes
Yes
Fillable Fileable
Form
ETA 6-131C
Right to Appeal
ETA 6-131C Right to Appeal 6.28.16.pdf
Yes
Yes
Fillable Fileable
Form
ETA 328
Property Inventory
ETA 328 Property Inventory 6.28.16.pdf
Yes
Yes
Fillable Fileable
Form
6-37
INSPECTION OF RESIDENTIAL AND EDUCATIONAL FACILITIES
Inspection of Residential and Educational Facilities_OJC 6-37.pdf
Yes
Yes
Fillable Fileable
Form
6-39
INSPECTION OF WASTEWATER TREATMENT FACILITIES
Inspection of WasteWater Treatment Facilities_OJC 6-39.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
6-38
INSPECTION OF WATER SUPPLY FACILITIES
Inspection of Water and Supply Facilities_OJC 6-38.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
2,543
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
197,459
0
0
12,831
0
184,628
Annual IC Time Burden (Hours)
54,442
0
0
15,832
0
38,610
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Privacy Statement
privacy2-3.gif
05/06/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.