Statement of Recovery Forms

Statement of Recovery Forms

OMB: 1240-0001

IC ID: 13938

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Statement of Recovery Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ca-1108 Statement of Recovery CA-1108 working.pdf http://www.dol.gov/owcp/dfec/regs/compliance/forms.htm Yes No Fillable Printable

Workforce Management Labor Rights Management

DOL/GOVT-1  67 FR 16826

832 0
   
Private Sector Businesses or other for-profits
 
   50 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 832 0 0 -1,717 0 2,549
Annual IC Time Burden (Hours) 416 0 0 -859 0 1,275
Annual IC Cost Burden (Dollars) 216 0 0 -1,008 0 1,224

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