Information Collection

Placement Service

IC 177030 under ICR 198105-3220-041 · OMB 3220-0057.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	PLACEMENT SERVICE	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	ES-1A,	No	No
Form	ES-20A,	No	No
Form	ES-20B,	No	No
Form	ES-21,	No	No
Form	ES-21C,	No	No
Form	ES-22	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	38,300	36,000	2,300
Annual IC Time Burden (Hours)	1,825	1,633	192
Annual IC Cost Burden (Dollars)	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.