Information Collection

Form LM-30 (Revised 2011)

IC 198016 under ICR 201110-1245-001 · OMB 1245-0005.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form LM-30 Form LM-30 (Revised 2011)	Form
Revised LM-30 Instructions (2011 - Final).pdf	Instruction
LM-30 LM-30 Revised LM-30 Form (2011 - Final).pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 404

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
Form	LM-30	LM-30	Revised LM-30 Form (2011 - Final).pdf		Yes	Yes	Fillable Fileable Signable
Instruction			Revised LM-30 Instructions (2011 - Final).pdf		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,932

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,932	1,932
Annual IC Time Burden (Hours)	2,898	2,898
Annual IC Cost Burden (Dollars)	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.