Information Collection

Compliant Information Form and Justifications

IC 183761 under ICR 200802-1225-001 · OMB 1225-0077.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0077 can be found here:

Documents and Forms

Document Name Document Type
Form DL-1-2014a Compliant Information Form and Justifications Form and Instruction
DL-1-2014a Complaint Information Form FORM_DL 1-2014a.doc www.dol.gov/oasam/programs/crc/CIFENGWord.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Compliant Information Form and Justifications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 37.73

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DL-1-2014a	Complaint Information Form	FORM_DL 1-2014a.doc	http://www.dol.gov/oasam/programs/crc/CIFENGWord.doc	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: DOL/OASAM-22	FR Citation: 67 FR 16816

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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