Information Collection Request

Fidelity Bonding Issuance

ICR 201911-1205-004 · OMB 1205-0541 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Fidelity Bonding ICR Supporting Statement 031320 Clean.docx Supporting Statement A Uploaded 2020-03-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240164 State Bonding Coordinators or Designated AJC Counselors - Recordkeeping New
238575 State Bonding Coordinators or AJC Counselors -- Data Collection and Submission Other-FIDELITY BONDING ISSUANCE FORM New
238574 Employers New
238573 Placed Individuals New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2023 36 Months From Approved
24,000 0 0
1,800 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Employers
Placed Individuals
State Bonding Coordinators or AJC Counselors -- Data Collection and Submission
State Bonding Coordinators or Designated AJC Counselors - Recordkeeping

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 24,000 0 0 24,000 0 0
Annual Time Burden (Hours) 1,800 0 0 1,800 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No