Information Collection

Petition by a Firm for Certification of Eligibility to Apply for Trade Adjustment Assistance

IC 3743 under ICR 200201-0610-001 · OMB 0610-0091.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Petition by a Firm for Certification of Eligibility to Apply for Trade Adjustment Assistance	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ED-840P				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 193	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	193	31	162
Annual IC Time Burden (Hours)	1,544	248	1,296
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.