Form T and instructions

Termination Premium

OMB: 1212-0064

IC ID: 45940

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Form T and instructions
 
No Unchanged
 
Mandatory
 
29 CFR 4000, 4007  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction T Termination Premium Declaration Form T package 2017.d2.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

3 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 3 0 0 0 0 3
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 200 0 0 0 0 200

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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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