Record of Employee Interview

ICR 202009-2501-001

OMB: 2501-0009

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2017-11-08
IC Document Collections
IC ID
Document
Title
Status
26948 Modified
ICR Details
2501-0009 202009-2501-001
Received in OIRA 201711-2501-001
HUD/HUDSEC
Record of Employee Interview
Reinstatement with change of a previously approved collection   No
Regular 09/03/2021
  Requested Previously Approved
36 Months From Approved
37,944 0
18,972 0
0 0

The information is used by HUD to fulfill its obligation to administer and enforce Federal labor standards provisions, especially to monitor contractor compliance and to act upon allegations of labor standards violations.

None
None

Not associated with rulemaking

  86 FR 27643 05/21/2021
86 FR 46003 08/17/2021
No

1
IC Title Form No. Form Name
Record of Employee Interview HUD 11, HUD 11 Spanish Recornd of Employee Interview - English ,   Record of Employee Interview- Spanish

  Total Request 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 37,944 0 0 17,944 0 20,000
Annual Time Burden (Hours) 18,972 0 0 10,772 0 8,200
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Reinstatement with change

$837,613
No
    No
    No
No
No
No
No
Patricia Wright 253 223-4445 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/03/2021


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