Request for Employment Information

Request for Employment Information

OMB: 1240-0047

IC ID: 13773

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Request for Employment Information
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ca-1027 Request for Employer Information ca-1027 final mjs 10-25-2012omb 1240-0047.doc No   Printable Only

Income Security General Retirement and Disability

DOL/GOVT-1  67 FR 16815

431 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 431 0 0 -69 0 500
Annual IC Time Burden (Hours) 108 0 0 -17 0 125
Annual IC Cost Burden (Dollars) 207 0 0 -28 0 235

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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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