Information Collection

Employers - Point of Contact Questions

IC 187888 under ICR 201003-1205-005 · OMB 1205-0453.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0453 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Employer Contact Sheet_1.28.09.pdf	Other-Interviewer Instructions and W
NAWS Questionniare Cover Page.pdf	Other-Employer Contact Information f

IC Title:

Employers - Point of Contact Questions

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-Interviewer Instructions and Workers Employed field			Employer Contact Sheet_1.28.09.pdf		No		Paper Only
Other-Employer Contact Information fields			NAWS Questionniare Cover Page.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: DOL/ASP-1

FR Citation: 67 FR 16815

Number of Respondents: 564

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	564	-444	1,008
Annual IC Time Burden (Hours)	188	-148	336
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.