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

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0036 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

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:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	VA5-4685A	No	No
Form	DD-1918	No	No
Form	DD-1919	No	No
Form	VA5-4684	No	No
Form	DD-1919C	No	No
Form	VA5-4685	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 %

	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

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.