View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Health and Wellness
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 686

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 9222 Health and Wellness Center Annual Program Description ETA 9222 Health and Wellness Center Annual Program Description APD.docx Yes Yes Fillable Fileable
Form ETA 9212 Alcohol Testing Report ETA 9212 Alcohol Testing Report.docx Yes Yes Fillable Fileable
Form ETA 9214 Social Intake Form ETA 9214 Social Intake Form_EO 14168 Changes.docx Yes Yes Fillable Fileable
Form ETA 9216 Health History Form ETA 9216 Health History Form_EO 14168 Changes.docx Yes Yes Fillable Fileable
Form ETA 9217 Lab Testing Information Sheet ETA 9217 Laboratory Testing Information Sheet.docx Yes Yes Fillable Fileable
Form ETA 9213 Immunization Record ETA 9213 Immunization Record_Updated.docx Yes Yes Fillable Fileable
Form ETA 9215 Physical Examination Form ETA 9215 Physical Examination Form_Updated_EO 14168 Changes.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

DOL/GOVT-2. (Job Corps Student Records)   67 FR 16815

847 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested 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 179,105 0 179,105 0 0 0
Annual IC Time Burden (Hours) 89,458 0 89,458 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.