OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

EEOICP Forms for Business or other for profits

IC 178683 under ICR 200702-1215-010 · OMB 1215-0197.

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

View Information Collection (IC)

EEOICP Forms for Business or other for profits
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 30.907 20 CFR 30.215 20 CFR 30.207 20 CFR 30.232 (a) and (b) 20 CFR 30.103 20 CFR 30.106 20 CFR 30.222 20 CFR 30.415 through 30.417 20 CFR 30.905

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction EE-7 Department of Energy's Response to Employment History for Claim Under the Energy Employees Occupational Illness Compensation Program Act EE-7 1215-0197 (2007 clearnace).rtf No   Printable Only
Form and Instruction EE-7 Spanish Department of Energy's Response to Employment History for Claim Under the Energy Employees Occupational Illness Compensation Program Act EE-7 Spanish 1215-0197 (2007 clearance).pdf No   Paper Only

Income Security General Retirement and Disability

DOL/ESA-49  67 FR 16891

20,662 0
   
Private Sector Businesses or other for-profits
 
   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 20,662 0 0 20,662 0 0
Annual IC Time Burden (Hours) 5,291 0 0 5,291 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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