Information Collection

Dbra/cwhssa Recordkeeping And Reporting Requirements 29 Cfr Part 5

IC 122258 under ICR 198704-1215-008 · OMB 1215-0140.

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Information Collection (IC) Details

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IC Title:	DBRA/CWHSSA RECORDKEEPING AND REPORTING REQUIREMENTS 29 CFR PART 5	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DBRA 5				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,505	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,505	2,505
Annual IC Time Burden (Hours)	630	630
Annual IC Cost Burden (Dollars)	0	0

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