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⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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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:

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 %

	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

Title	Document	Date Uploaded

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