Statement of Recovery Forms

Statement of Recovery Forms

OMB: 1240-0001

IC ID: 13938

Information Collection (IC) Details

View Information Collection (IC)

Statement of Recovery Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ca-1108 Statement of Recovery CA-1108 final with accomodation statement-mjs-4-20-2012.pdf http://www.dol.gov/owcp/dfec/regs/compliance/forms.htm Yes No Fillable Printable

Workforce Management Labor Rights Management

DOL/GOVT-1  67 FR 16826

2,549 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,549 0 0 -151 0 2,700
Annual IC Time Burden (Hours) 1,275 0 0 -75 0 1,350
Annual IC Cost Burden (Dollars) 1,224 0 0 9 0 1,215

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

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