Information Collection

Employers: Employment Verification

IC 226071 under ICR 202003-1820-003 · OMB 1820-0686.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0686 can be found here:

Documents and Forms

Document Name Document Type
Employers: Employment Verification Form and Instruction
Employment Verification Record 1820-0686 Employment Verification Record.CLEAN.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employers: Employment Verification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 304

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Employment Verification Record	1820-0686 Employment Verification Record.CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Personnel Development Program Data Collection System (PDPDCS)	FR Citation: 84 FR 32889

Number of Respondents: 10,841	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,841	-4,372	15,213
Annual IC Time Burden (Hours)	1,811	-775	2,586
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.