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⚠️ Notice: This information collection may be referencing outdated material.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 1820-0686 Employer_Verification_Updated PRA.doc Form

Information Collection (IC) Details

IC Title:	Employer Verification	Agency IC Tracking Number:	4557

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 34 CFR 304

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	1820-0686 Employer_Verification_Updated PRA.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Privacy Impact Assessment for Privacy Act is in progress	FR Citation: 73 FR 207

Number of Respondents: 16,529	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16,529	12,779	3,750
Annual IC Time Burden (Hours)	4,683	3,745	938
Annual IC Cost Burden (Dollars)	0	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.