Senior Community Service Employment Program (SCSEP)

ICR 202401-1205-001

OMB: 1205-0040

Federal Form Document

Forms and Documents

Document Name	Status
Form ETA 9124A Participant Customer Satisfaction – ETA-9124A Form	New
Form ETA 9120, ETA 9121 ETA 5140 and ETA 9191 Form and Instruction	Removed
Form ETA 8705B Grantee Equitable Distribution Report Form	Removed
Form ETA 9124C2 Employer Customer Satisfaction – ETA-9124C2 Form	Modified
Form ETA 9124C2 Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2 Form	Modified
Form ETA 9124B Host Agency Customer Satisfaction – ETA-9124B Form	Modified
Form ETA 9124C1 Employer Customer Satisfaction – ETA-9124C1 Form and Instruction	Modified
SCSEP CSS 1205-0040 Supporting Statement Part B_ clean.docx Supporting Statement B	2024-03-13
signed_PRA Signature Form_SCSEP_(2024_0206).pdf Supplementary Document	2024-03-13
Additional Context for ICR Changes 10.18.21.docx Supplementary Document	2021-10-18
signed_PRA Signature Form_SCSEP_(2021_1001).pdf Supplementary Document	2021-10-04
1205-0040 Supporting Statement - clean.docx Supporting Statement A	2024-03-14

IC Document Collections

IC ID	Document Title	Status
264386	Participant Customer Satisfaction – ETA-9124A Form	New
249068	ETA 5140 and ETA 9191 Form and Instruction	Removed
232731	Grantee Equitable Distribution Report Form	Removed
232730	Employer Customer Satisfaction – ETA-9124C2 Form	Modified
232726	Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2 Form	Modified
215838	Participant Survey Pilot Project -- ETA-9124A Instruction	Modified
185407	Host Agency Customer Satisfaction – ETA-9124B Form	Modified
180160	Employer Customer Satisfaction – ETA-9124C1 Form and Instruction	Modified