HR Interview Form

Evaluating Supporting Nursing Moms at Work

OMB: 0990-0456

IC ID: 225499

Documents and Forms
Document Name
Document Type
Other-form
Information Collection (IC) Details

View Information Collection (IC)

HR Interview Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form OWH HR Interview Form 3.2.17.xlsx No   Paper Only

Health Public Health Monitoring

 

60 0
   
Individuals or Households
 
   100 %

  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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 60 0 60 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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