Information Collection

Employment Verification Form

IC 184865 under ICR 201403-1820-001 · OMB 1820-0686.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0686 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Employment Verification Form	Form and Instruction
Employment Verification Form 1820-0686 Employment Verification Form Ins 1.doc	Form and Instruction

IC Title:

Employment Verification Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 304

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
Form and Instruction	N/A	Employment Verification Form	1820-0686 Employment Verification Form Ins 1.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Special Education-Individual Reporting on Reg Compliance Related to the Personnel Dvlpt. Pgm. Service Obligation and the GPRA

FR Citation: 73 FR 207

Number of Respondents: 14,212

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14,212	-2,317	16,529
Annual IC Time Burden (Hours)	2,416	-2,267	4,683
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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