Employer Verification

Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation and the Government Performance and Results Act (GPRA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0686 can be found here:

Documents and Forms

Document Name Document Type
Employer Verification Form
Employer Verification Instrument 2 Employer Verification.pdf Form

Information Collection (IC) Details

IC Title:	Employer Verification	Agency IC Tracking Number:	03572

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Employer Verification	Instrument 2 Employer Verification.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,750	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,750	3,750
Annual IC Time Burden (Hours)	938	938
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.