Information Collection

Establishment Information Form, Wage Data Collection Form, And Continuation Form

IC 156692 under ICR 198610-3206-003 · OMB 3206-0036.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

ESTABLISHMENT INFORMATION FORM, WAGE DATA COLLECTION FORM, AND CONTINUATION FORM

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	DD-1918	No	No
Form	DD-1919	No	No
Form	DD-1919C	No	No
Form	VA5-4684	No	No
Form	VA5-4685	No	No
Form	VA5-4685A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	17,000	17,000
Annual IC Time Burden (Hours)	68,000	68,000
Annual IC Cost Burden (Dollars)	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.