Information Collection

Notice to Employee of Change of 12-Month Period for Determining Entitlement (Federal)

IC 187163 under ICR 200810-1215-003 · OMB 1215-0181.

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IC Title:

Notice to Employee of Change of 12-Month Period for Determining Entitlement (Federal)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 825.200(d)(1), (e)

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

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,351	2,351
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

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