Information Collection

Mass Layoff Statistics Program

IC 14601 under ICR 200702-1220-001 · OMB 1220-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0090 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Collection Instrument for Business Function.doc	Other-Screen Shot
Job Aid - Script.doc Suggested Wording	IC Document

IC Title:

Mass Layoff Statistics Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shot					Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,052

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

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	17,832	0	0	17,832
Annual IC Time Burden (Hours)	69,753	94	-2,928	72,587
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Suggested Wording		02/12/2007

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].