Waivers of Rights and Claims Under the ADEA; Informational Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3046-0042 can be found here:

Documents and Forms

Document Name Document Type
PRA-SUPPORTADEAwaiver 2013_1.docx Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waivers of Rights and Claims Under the ADEA; Informational Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1625.22

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,080	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,080	-10,950	28,030
Annual IC Time Burden (Hours)	25,620	-16,425	42,045
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	PRA-SUPPORTADEAwaiver 2013_1.docx	07/17/2013

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