Employment Verification Form

Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation and the Government Performance and Results Act (GPRA)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Employment Verification Form Form and Instruction
Employment Verification Form 1820-0686 Employment Verification Form Ins 1.doc Form and Instruction
Employment Verification Form 1820-0686 Change Req Employment Verification Form.doc Form and Instruction

Information Collection (IC) Details

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:

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
Form and Instruction	NA	Employment Verification Form	1820-0686 Change Req Employment Verification Form.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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	14,212	14,212
Annual IC Time Burden (Hours)	2,416	2,416
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.