Information Collection

Petition For Adjustment Assistance (spanish Translation)

IC 123889 under ICR 198009-1225-001 · OMB 1225-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

PETITION FOR ADJUSTMENT ASSISTANCE (SPANISH TRANSLATION)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ILAB 20-1	No	No
Form	ILAB 20	No	No
Form	TRANSLATION)	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,200	3,380	-780	600
Annual IC Time Burden (Hours)	1,600	1,300	-300	600
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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