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SCSEP Participant Data Form (National)
Senior Community Service Employment Program (SCSEP)
OMB: 1205-0040
IC ID: 180574
OMB.report
DOL/ETA
OMB 1205-0040
ICR 201808-1205-001
IC 180574
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0040 can be found here:
2024-04-18 - Revision of a currently approved collection
2021-10-18 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form ETA 9120
SCSEP Participant Data Form (National)
Form
ETA 9120 SPARQ Participant Form
SPARQ Participant Form ETA-9120_7 1 12.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SCSEP Participant Data Form (National)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR Part 641 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA 9120
SPARQ Participant Form
SPARQ Participant Form ETA-9120_7 1 12.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
36
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
0
0
0
-34,000
0
34,000
Annual IC Time Burden (Hours)
0
0
0
-6,800
0
6,800
Annual IC Cost Burden (Dollars)
0
0
0
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.