Information Collection

Placement Service

IC 33870 under ICR 199804-3220-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Placement Service

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	ES-20A	No	No
Form	ES-20B	No	No
Form	ES-21	No	No
Form	ES-2	No	No
Form	UI-35	No	No
Form	ES-21C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	27,000	1,091	-5,341	31,250
Annual IC Time Burden (Hours)	1,494	125	-612	1,981
Annual IC Cost Burden (Dollars)	0	0	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.