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Energy Employees Occupational Illness Compensation Program Act Forms (Various)
Energy Employees Occupational Illness Compensation Program Act Forms (Various)
OMB: 1215-0197
IC ID: 13934
OMB.report
DOL/ESA
OMB 1215-0197
ICR 200506-1215-001
IC 13934
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0197 can be found here:
2007-06-14 - Revision of a currently approved collection
2006-10-05 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Energy Employees Occupational Illness Compensation Program Act Forms (Various)
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
EE-7
No
No
Form
EE-20
No
No
Form
EE-1
No
No
Form
EE-9
No
No
Form
EE-10
No
No
Form
EE-2
No
No
Form
EE-3
No
No
Form
EE-8
No
No
Form
EE-4
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
90,863
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
92,763
0
40,480
2,264
0
50,019
Annual IC Time Burden (Hours)
41,378
0
17,883
1,000
0
22,495
Annual IC Cost Burden (Dollars)
22,000
0
9,000
0
0
13,000
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.