Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Career Technical Training (CTT) New 121 666 0 Form ETA 9219 Annual Career Technical Skills Training
Center New 137240 25418 0 Form ETA 6-131 A & B Disciplinary Discharge and Review Board Hearings
Form ETA 6-131C Right to Appeal
Form ETA 640 Student Profile
Form ETA 661 Student Separation
Form ETA 9218 CDSS Center Operations Plan
Facilities and Asset Management New 3209 3935 0 Form ETA 6-36 Environmental Health Inspections
Form ETA 6-37 Inspection of Residential and Educational Facilities
Form ETA 6-38 Inspection of Water Supply Facilities
Form ETA 6-39 Inspection of Waste Treatment Facilities Cost
Form and Instruction ETA 9221 Construction and Rehab Report (CRA)
Form ETA 9220 Center Preventive Maintenance Plan (PMP)
Form ETA 328 Property Inventory
Finance New 3388 5082 0 Form ETA 2110 Center Financial Report
Form ETA 2110 S Center Vacancy Separation Report
Form ETA 2181 Center Operations Bugget
Health and Wellness New 179105 89458 0 Form ETA 9222 Health and Wellness Center Annual Program Description
Form ETA 9212 Alcohol Testing Report
Form ETA 9214 Social Intake Form
Form ETA 9216 Health History Form
Form ETA 9217 Lab Testing Information Sheet
Form ETA 9213 Immunization Record
Form ETA 9215 Physical Examination Form
Performance New 103600 10360 0 Form ETA 9190A, 9190B and 9190C Grant Data Collection Form
Standard Job Corps reporting forms Removed 0 0 0 Form ETA 6-131A and 6-131B Disciplinary Discharge
Form ETA 6-131C Right to Appeal
Form ETA 328 Property Inventory
Form ETA 640 Student Profile
Form ETA 9192 Annual Center Academic Programs Review and Planning
Form ETA 661 Student Seperation
Form ETA 2110 Center Financial Report
Form ETA 2181 Center Operations Budget
Form ETA 9190 Grants Data Collection Forms
Form ETA 6-36 Environmental Health Inspection
Form ETA 6-37 Inspection of Residential and Educational Facilities
Form ETA 6-38 Inspection of Water and Supply Facilities
Form ETA 6-39 Inspection of Waste Water Treatment Facilities
Total burden requested under this ICR: 426663 134919 0  
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