Employer Screener Survey

Family and Medical Leave Act, Wave 4 Surveys

OMB: 1290-0015

IC ID: 226267

Documents and Forms
Document Name
Document Type
Other-Employer Screener Survey
Information Collection (IC) Details

View Information Collection (IC)

Employer Screener Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Employer Screener Survey FMLA Wave 4 Surveys_OMB Attachment B.1_Employer Screener Survey_7.25.17.docx No   Printable Only

Workforce Management Labor Rights Management

 

3,044 0
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   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 3,044 0 0 0 0 3,044
Annual IC Time Burden (Hours) 203 0 0 0 0 203
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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