Employment Questionnaire

Employment Questionnaire

OMB: 2900-0079

IC ID: 28228

Documents and Forms
Document Name
Document Type
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Information Collection (IC) Details

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Employment Questionnaire
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-4140-1 No No
Form 21-4140 No No
Form 21-4140A No No


    

45,480 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 45,480 0 45,480 0 0 0
Annual IC Time Burden (Hours) 3,790 0 3,790 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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