Information Collection

Placement Service

IC 177032 under ICR 199009-3220-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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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: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ES-20A	No	No
Form	ES-21C	No	No
Form	ES-20C	No	No
Form	ES-21	No	No
Form	ES-22, UI-35	No	No
Form	ES-1A	No	No
Form	ES-20B	No	No
Form	ES-2	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	71,750	1,650	70,100
Annual IC Time Burden (Hours)	4,790	14	4,776
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.