Information Collection

Worker Classification Survey

IC 206152 under ICR 201303-1235-002 · OMB 1235-0028.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Worker Classification Survey_OMB Attachment C Survey 04-24-14 clean.docx	Other-Survey
Worker Classification Survey-OMB Attachment B Privacy Statement 09-13-13.docx Worker Classification Survey-OMB Attachment B-Privacy Statement	IC Document
Worker_Classification_Survey-OMB_Attachment_A1_NRFU_letter_09-13-13(2).docx Worker Classification Survey-OMB Attachment-A1 NRFU letter	IC Document
Worker_Classification_Survey-OMB_Attachment_A2_NRFU_letter_09-13-13(2).docx Worker Classification Survey-OMB Attachment A2-NRFU letter	IC Document
Worker Classification Survey-OMB Attachment D Estimation 09-13-13.docx Worker Classification Survey-OMB Attachment D-Estimation	IC Document
Worker Classification Survey-OMB Attachment F Survey questions crosswalk_09-13-2013.docx Worker Classification Survey-OMB Attachment F-Survey Questions Crosswalk	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Survey			Worker Classification Survey_OMB Attachment C Survey 04-24-14 clean.docx		No		Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,906

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	24,966	24,966
Annual IC Time Burden (Hours)	4,007	4,007
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Worker Classification Survey-OMB Attachment B-Privacy Statement	Worker Classification Survey-OMB Attachment B Privacy Statement 09-13-13.docx	10/31/2013
Worker Classification Survey-OMB Attachment-A1 NRFU letter	Worker_Classification_Survey-OMB_Attachment_A1_NRFU_letter_09-13-13(2).docx	10/31/2013
Worker Classification Survey-OMB Attachment A2-NRFU letter	Worker_Classification_Survey-OMB_Attachment_A2_NRFU_letter_09-13-13(2).docx	10/31/2013
Worker Classification Survey-OMB Attachment D-Estimation	Worker Classification Survey-OMB Attachment D Estimation 09-13-13.docx	11/01/2013
Worker Classification Survey-OMB Attachment F-Survey Questions Crosswalk	Worker Classification Survey-OMB Attachment F Survey questions crosswalk_09-13-2013.docx	11/01/2013

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