Information Collection

Referral Card - Report On Placement Or Refusal Of Referral Or Job Offer To Rrb

IC 157316 under ICR 197502-3220-005 · OMB 3220-0027.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0027 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	REFERRAL CARD - REPORT ON PLACEMENT OR REFUSAL OF REFERRAL OR JOB OFFER TO RRB	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ES-21				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10,500	10,500
Annual IC Time Burden (Hours)	883	883
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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