OMB control number

Job Corps Application Data

OMB 1205-0025 · DOL/ETA.

OMB 1205-0025

ETA 652, Job Corps Applicant Data Sheet, is critical to the screening process. This form is completed by the admissions representative in collaboration with each applicant to determine the applicant’s eligibility for the Job Corps program in accordance with WIOA and Job Corps policy and to collect socio-demographic and employment barriers information for program planning, evaluation, and data reporting purposes. This ICR also contains verbal questions on dependents and childcare.

The latest form for Job Corps Application Data expires 2026-04-30 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2026-02-23
No material or nonsubstantive change to a currently approved collection 2025-04-09
Approved without change
Revision of a currently approved collection 2023-02-28
Approved without change
Revision of a currently approved collection 2020-03-27
Approved without change
Extension without change of a currently approved collection 2017-01-31
Approved without change
Extension without change of a currently approved collection 2013-11-08
Approved with change
Reinstatement with change of a previously approved collection 2010-08-30
Approved with change
Extension without change of a currently approved collection 2007-02-13
Approved with change
Revision of a currently approved collection 2003-12-29
Approved without change
Reinstatement with change of a previously approved collection 2000-07-14
Approved without change
Extension without change of a currently approved collection 1993-05-03
Approved without change
Extension without change of a currently approved collection 1990-03-29
Approved without change
Revision of a currently approved collection 1987-10-05
Approved without change
Revision of a currently approved collection 1987-05-05
Approved without change
Revision of a currently approved collection 1984-04-09
Approved without change
Reinstatement with change of a previously approved collection 1982-09-01
Approved without change
Reinstatement with change of a previously approved collection 1982-03-03
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-07-30
Approved without change
Revision of a currently approved collection 1979-08-30
Approved without change
Revision of a currently approved collection 1977-11-01
Approved without change
Revision of a currently approved collection 1977-08-03
Approved without change
Revision of a currently approved collection 1977-04-05
Approved with change
No material or nonsubstantive change to a currently approved collection 1975-09-23
OMB Details

Job Corps Application Data

Federal Enterprise Architecture: Workforce Management - Training and Employment

Form ETA 652Job Corps Applicant Data SheetFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.