View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1205-0219
ICR Reference No:
202411-1205-003
Status:
Active
Previous ICR Reference No:
202202-1205-001
Agency/Subagency:
DOL/ETA
Agency Tracking No:
Title:
Standard Job Corps Contractor Information Gathering
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/27/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/09/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2029
36 Months From Approved
03/31/2026
Responses
426,663
0
277,298
Time Burden (Hours)
134,919
0
83,640
Cost Burden (Dollars)
0
0
0
Abstract:
These operating and/or reporting forms are standard for the operation of a Job Corps Center. They are Federal information collection requirements for operators of such centers. Job Corps has automated the following Employment and Training Administration (ETA) forms: 2110, 2181, 6-131A, 6-131B, 6-131C, 640, 661, and 328.
Authorizing Statute(s):
PL:
Pub.L. 113 - 128 Subtitle C, 141 et seq
Name of Law: Workforce Innovation and Opportunity Act
PL:
Pub.L. 105 - 220 Subtitle C, 141 et seq
Name of Law: Workforce Investment Act of 1998
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
89 FR 66741
08/16/2024
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 21348
05/19/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Career Technical Training (CTT)
ETA 9219
Annual Career Technical Skills Training
Center
ETA 9218, ETA 6-131 A & B, ETA 6-131C, ETA 640, ETA 661
Disciplinary Discharge and Review Board Hearings
,
Right to Appeal
,
Student Profile
,
Student Separation
,
CDSS Center Operations Plan
Facilities and Asset Management
ETA 6-37, ETA 9220, ETA 6-36, ETA 6-38, ETA 6-39, ETA 9221, ETA 328
Environmental Health Inspections
,
Inspection of Residential and Educational Facilities
,
Inspection of Water Supply Facilities
,
Inspection of Waste Treatment Facilities Cost
,
Construction and Rehab Report (CRA)
,
Center Preventive Maintenance Plan (PMP)
,
Property Inventory
Finance
ETA 2110, ETA 2110 S, ETA 2181
Center Financial Report
,
Center Vacancy Separation Report
,
Center Operations Bugget
Health and Wellness
ETA 9212, ETA 9222, ETA 9215, ETA 9214, ETA 9216, ETA 9217, ETA 9213
Health and Wellness Center Annual Program Description
,
Alcohol Testing Report
,
Social Intake Form
,
Health History Form
,
Lab Testing Information Sheet
,
Immunization Record
,
Physical Examination Form
Performance
ETA 9190A, 9190B and 9190C
Grant Data Collection Form
Standard Job Corps reporting forms
ETA 9190 , ETA 661, ETA 6-131A and 6-131B, ETA 6-131C, ETA 328, ETA 640, ETA 9192, ETA 2110 , ETA 2181, ETA 6-36, ETA 6-37, ETA 6-38, ETA 6-39
Disciplinary Discharge
,
Right to Appeal
,
Property Inventory
,
Student Profile
,
Annual Center Academic Programs Review and Planning
,
Student Seperation
,
Center Financial Report
,
Center Operations Budget
,
Grants Data Collection Forms
,
Environmental Health Inspection
,
Inspection of Residential and Educational Facilities
,
Inspection of Water and Supply Facilities
,
Inspection of Waste Water Treatment Facilities
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
426,663
277,298
0
149,365
0
0
Annual Time Burden (Hours)
134,919
83,640
0
51,279
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The previously approved total annual burden hours were 83,640 hours, and this request notes 134,919 hours. An increase of 51,279 hours. Please see detailed response in supporting statement.
Annual Cost to Federal Government:
$2,700,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Emily St. Onge 202 693-2605 st.onge.emily@dol.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
05/09/2025
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