Information Collection

Census Employment Inquiry

IC 3363 under ICR 201412-0607-003 · OMB 0607-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0139 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BC-170A Census Employment Inquiry-BC170A Census Employment Inquiry	Form
Form BC-170B Census Employment Inquiry-BC170B Census Employment Inquiry	Form
Form BC-170D Census Employment Inquiry-BC170D Census Employment Inquiry	Form
BC-170A Census Employment Inquiry-BC170A bc170a_12232014.pdf	Form
BC-170B Census Employment Inquiry-BC170B bc170b_12232014.pdf	Form
BC-170D Census Employment Inquiry-BC170D bc170d_12232014.pdf	Form

IC Title:

Census Employment Inquiry

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form	BC-170A	No	Paper Only
Form	BC-170B	No	Paper Only
Form	BC-170D	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 65,000

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	Previously Approved
Annual Number of Responses for this IC	65,000	65,000
Annual IC Time Burden (Hours)	16,250	16,250
Annual IC Cost Burden (Dollars)	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.

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