Information Collection

State Bonding Coordinators or AJC Counselors -- Data Collection and Submission

IC 238575 under ICR 201911-1205-004 · OMB 1205-0541.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0541 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Fidelity Bonding Issuance Form 2-19-2020.docx	Other-FIDELITY BONDING ISSUANCE FORM

IC Title:

State Bonding Coordinators or AJC Counselors -- Data Collection and Submission

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Other-FIDELITY BONDING ISSUANCE FORM			Fidelity Bonding Issuance Form 2-19-2020.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.