A DISCLOSURE OF INFORMATION TO CREDIT REPORTING AGENCIES, ADMINISTRATIVE OFFSET: INTEREST, PENALTIES, AND ADMINISTRATIVE COSTS

ICR 199304-1225-002

OMB: 1225-0030

Federal Form Document

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ICR Details
1225-0030 199304-1225-002
Historical Active 199004-1225-002
DOL/DM
A DISCLOSURE OF INFORMATION TO CREDIT REPORTING AGENCIES, ADMINISTRATIVE OFFSET: INTEREST, PENALTIES, AND ADMINISTRATIVE COSTS
Revision of a currently approved collection   No
Regular
Approved without change 06/15/1993
Retrieve Notice of Action (NOA) 04/20/1993
  Inventory as of this Action Requested Previously Approved
08/31/1996 08/31/1996 06/30/1993
3,500 0 3,500
12,250 0 12,250
0 0 0

INFORMATION IS COLLECTED FROM DEBTORS TO ASSIST IN DETERMINING WHETHER AN INDIVIDUAL OR ORGANIZATION IS ACTUALLY INDEBTED TO THE DEPARTMENT O LABOR, AND IF SO INDEBTED, TO EVALUATE THE INDIVIDUAL'S OR ORGANIZATION'S ABILITY TO REPAY THE DEBT.

None
None


No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,500 3,500 0 0 0 0
Annual Time Burden (Hours) 12,250 12,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/20/1993


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