Information Collection

Recapitulation Of State's Report Of Wages Paid

IC 114386 under ICR 198408-0960-015 · OMB 0960-0042.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	RECAPITULATION OF STATE'S REPORT OF WAGES PAID	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-3962				No	No
Form	(11-80)				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	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	2,600	-520	3,120
Annual IC Time Burden (Hours)	520	-104	624
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.