Waivers of Rights and Claims Under the ADEA; Informational Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3046-0042 can be found here:

Documents and Forms

Document Name Document Type
Published 60 Day Notice ADEA Waiver.pdf 60 Day Federal Register Notice IC Document
Published ADEA 30 day Notice (7.13.20).pdf 30 Day Federal Register Notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waivers of Rights and Claims Under the ADEA; Informational Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1625.22

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,425	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,425	2,298	127
Annual IC Time Burden (Hours)	39,261	37,171	2,090
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
60 Day Federal Register Notice	Published 60 Day Notice ADEA Waiver.pdf	07/07/2020
30 Day Federal Register Notice	Published ADEA 30 day Notice (7.13.20).pdf	07/13/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.