Certification In Support Of Employer Service

CERTIFICATION IN SUPPORT OF EMPLOYER SERVICE

OMB: 3220-0015

IC ID: 157261

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CERTIFICATION IN SUPPORT OF EMPLOYER SERVICE
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-86 No No


    

250 0
   
Individuals or Households
 
   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 250 0 0 -2,250 0 2,500
Annual IC Time Burden (Hours) 83 0 0 -750 0 833
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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