Representative Fee Request

Representative Fee Request

OMB: 1240-0049

IC ID: 13744

Documents and Forms
Information Collection (IC) Details

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Representative Fee Request
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 10.700-703 20 CFR 702.132

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CA-143 and CA-155 Attorney Fee Request ca-143 for 1240-0049.doc No   Paper Only

Workforce Management Training and Employment

DOL-ESA Notice 15 and DOL/GOVT-1  58 FR 49599

12,363 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 12,363 0 0 3,959 0 8,404
Annual IC Time Burden (Hours) 6,182 0 0 763 0 5,419
Annual IC Cost Burden (Dollars) 15,696 0 0 2,890 0 12,806

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