Information Collection

Placement Service

IC 177031 under ICR 198509-3220-008 · OMB 3220-0057.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0057 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

PLACEMENT SERVICE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ES-21C,	No	No
Form	ES-21,	No	No
Form	ES-20B,	No	No
Form	ES-22	No	No
Form	ES-1A,	No	No
Form	ES-20A,	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42,500

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	71,100	28,600	42,500
Annual IC Time Burden (Hours)	4,813	2,901	1,912
Annual IC Cost Burden (Dollars)	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.