Information Collection

Employer Implementation Questionnaire

IC 202235 under ICR 201506-0970-017 · OMB 0970-0413.

Documents and Forms

Document Name Document Type
Appendix_I_Employer Implementation Questionnaire 10-3-12.docx Other-Employer Implementation Questi

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employer Implementation Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Employer Implementation Questionnaire			Appendix_I_Employer Implementation Questionnaire 10-3-12.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	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	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	14	14
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.