Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SCSEP Community Service Assignment Form (National) New 81400 8140 0 Form ETA-9121 SCSEP Community Service Assignment Form
SCSEP Community Service Assignment Form (State) New 28599 2860 0 Form ETA-9121 SCSEP Community Service Assignment Form
SCSEP Employer and Host Agency Customer Satisfaction Surveys New 17400 1740 0 Form and Instruction ETA-9124C SCSEP Employer Customer Satisfaction Survey
Form and Instruction ETA-9124B SCSEP Host Agency Customer Satisfaction Survey
SCSEP Equitable Distribution Report New 50 500 0 Form ETA-8705 SCSEP Equitable Distribution Report
SCSEP Exit Form (National) New 40700 4070 0 Form ETA-9123 SCSEP Exit Form
SCSEP Exit Form (State) New 14302 1430 0 Form ETA-9123 SCSEP Exit Form
SCSEP Participant Customer Satisfaction Survey New 14000 1400 0 Form and Instruction ETA-9124A SCSEP Participant Customer Satisfaction Survey
SCSEP Participant Data Form (National) New 78440 15688 0 Form ETA-9120 SCSEP Participant Data Form
SCSEP Participant Data Form (State) Modified 27558 5512 0 Form ETA-9120 SCSEP Participant Data Form
SCSEP Unsubsidized Employment Form (National) New 16279 3256 0 Form ETA-9122 SCSEP Unsubsidized Employment Form
SCSEP Unsubsidized Employment Form (State) New 5718 1144 0 Form ETA-9122 SCSEP Unsubsidized Employment Form
Total burden requested under this ICR: 324446 45740 0  
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