Information Collection

Renewal Application

IC 184869 under ICR 202009-0920-007 · OMB 0920-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0138 can be found here:

Documents and Forms

Document Name Document Type
Renewal Application Form
Renewal application Attachment E Sponsorship Renewal Application_2020 (1).docx Form
Renewal application Attachment E Sponsorship Renewal Application_2020 (1).docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Renewal Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Renewal application	Attachment E Sponsorship Renewal Application_2020 (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13	0	13
Annual IC Time Burden (Hours)	78	0	78
Annual IC Cost Burden (Dollars)	1,794	78	1,716

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.