Request To Employer For Verification - Applicants Employment And Earnings

REQUEST TO EMPLOYER FOR VERIFICATION - APPLICANTS EMPLOYMENT AND EARNINGS

OMB: 2900-0071

IC ID: 146867

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REQUEST TO EMPLOYER FOR VERIFICATION - APPLICANTS EMPLOYMENT AND EARNINGS
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 26-253 No No


    

25,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25,000 0 0 25,000 0 0
Annual IC Time Burden (Hours) 4,167 0 0 4,167 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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