Information Collection

Wage Survey Interview Record

IC 193069 under ICR 201701-1205-002 · OMB 1205-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 232A Wage Survey Interview Record Wage Survey Interview Record	Form and Instruction
ETA 232A Wage Survey Interview Record ETA Form 232A_FINAL 1.30.17.doc	Form and Instruction
ETA Form 232A_(track changes) Edits_Highlights 1.30.17.doc ETA Form 232A track changes	IC Document

IC Title:

Wage Survey Interview Record

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 653 29 CFR 653 20 CFR 655

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 232A	Wage Survey Interview Record	ETA Form 232A_FINAL 1.30.17.doc		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,608

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	14,608	14,608
Annual IC Time Burden (Hours)	3,652	3,652
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ETA Form 232A track changes	ETA Form 232A_(track changes) Edits_Highlights 1.30.17.doc	01/31/2017

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