Information Collection Request

Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form

ICR 201805-3206-001 · OMB 3206-0036 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD-1919 Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form Form Modified Available
30-day Notice 53 published at 83 FR 12041 19 Mar 2018.pdf Supplementary Document Uploaded 2018-05-16 Available
60-day Notice 223 published at 82 FR 55422 21 Nov 2017.pdf Supplementary Document Uploaded 2018-05-16 Available
2017 - Supporting statement Part B.doc Supporting Statement B Uploaded 2018-05-16 Available
2017 - Supporting statement Part A.doc Supporting Statement A Uploaded 2018-05-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
33555 Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved
21,760 0 0
65,280 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 21,760 0 0 560 0 21,200
Annual Time Burden (Hours) 65,280 0 0 -10,520 0 75,800
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No