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OMB Control No: 1230-0017	ICR Reference No: 202603-1230-001
Status: Received in OIRA	Previous ICR Reference No: 202509-1230-001
Agency/Subagency: DOL/ODEP	Agency Tracking No:
Title: Workforce Recruitment Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 04/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2026
Responses	3,100	2,500
Time Burden (Hours)	2,600	2,500
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	3,100	2,500	600
Annual Time Burden (Hours)	2,600	2,500	100
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision due to the addition of a separate form with an estimated annual burden of 100 additional hours. Due to the increase in respondents from a new form, total responses have increased from 2,500 to 3,100 and total burden hours have increased from 2,500 to 2,600.

Annual Cost to Federal Government: $1,108,514

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. Yes

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. Yes

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: David Rosenblum 202 693-7840 rosenblum.david.b@dol.gov

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