New Hire: Employer Reporting Manually

National Directory of New Hires

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0166 can be found here:

Documents and Forms

Document Name Document Type
Form 1 New Hire: Employer Reporting Manually Form and Instruction
1 New Hire Record Layout New Hire Record Layout Chart E Input only.FINAL.docx Form and Instruction

Information Collection (IC) Details

IC Title:	New Hire: Employer Reporting Manually	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	New Hire Record Layout	New Hire Record Layout Chart E Input only.FINAL.docx		No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Location and Collection System	FR Citation: 70 FR 21200

Number of Respondents: 5,130,348	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,182,487	-3,301,554	10,484,041
Annual IC Time Burden (Hours)	179,562	-82,539	262,101
Annual IC Cost Burden (Dollars)	0	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.