MLS Private Sector

Mass Layoff Statistics Program

Documents and Forms

Document Name Document Type
Form WINMLS MLS Private Sector Form
WINMLS Collection Instrument Collection Instrument-Winmls.rtf Form
Confiden-Burden Statement.doc Confidentiality - Burden Statement IC Document

Information Collection (IC) Details

IC Title:	MLS Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	WINMLS	Collection Instrument	Collection Instrument-Winmls.rtf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	21,000	1,000	20,000
Annual IC Time Burden (Hours)	3,500	167	3,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Confidentiality - Burden Statement	Confiden-Burden Statement.doc	10/11/2011

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