Information Collection

Waivers of Rights and Claims Under the ADEA; Informational Requirements

IC 29381 under ICR 201008-3046-002 · OMB 3046-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3046-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SUPPORTING STATEMENT.doc Supproting Statement for ADEA Waiver PRA (2010)	IC Document

IC Title:

Waivers of Rights and Claims Under the ADEA; Informational Requirements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1625.22

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: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,030

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,030	14,032	13,998
Annual IC Time Burden (Hours)	42,045	21,048	20,997
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supproting Statement for ADEA Waiver PRA (2010)	SUPPORTING STATEMENT.doc	08/13/2010

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