Information Collection

Employment Verification Questionnaire

IC 186580 under ICR 200809-0412-002 · OMB 0412-0578.

Documents and Forms

Document Name Document Type
Form AID XXX Employment Verification Questionnaire Form
AID XXX Employment Verification Questionnaire Forms - Employment Verfication Questionnaire.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employment Verification Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	AID XXX	Employment Verification Questionnaire	Forms - Employment Verfication Questionnaire.doc		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	300	300
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.