Information Collection

Petition Review Survey for Appellants Representatives

IC 212906 under ICR 201208-3124-003 · OMB 3124-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3124-0012 can be found here:

Documents and Forms

Document Name Document Type
PFR for Appellants Reps.pdf Other-Survey
PFR for Appellants Reps.pdf Petition for Review Survey for Appellant Representatives IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Petition Review Survey for Appellants Representatives	Agency IC Tracking Number:	3124-0012

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.5(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			PFR for Appellants Reps.pdf		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,310,400,000	1,310,400,000
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Petition for Review Survey for Appellant Representatives	PFR for Appellants Reps.pdf	09/02/2014

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