Information Collection

AMJP Receipient Report to USDOT of employment action Affecting the Eligible Employee Group

IC 250621 under ICR 202112-2106-001 · OMB 2106-0048.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AMJP 1A.2.4 AMJP Receipient Report to USDOT of employment action Affecting the Eligible Employee Group	Form
AMJP 1A.2.4 Recipient Report to USDOT of employment action Affecting AMJP Form AMJP-1A.2.4.pdf	Form
AMJP 1A.2.4 Recipient Report to USDOT of employment action Affecting AMJP Form AMJP-1A.2.4.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.8(b)

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
Form	AMJP 1A.2.4	Recipient Report to USDOT of employment action Affecting the Eligible Employee Group	AMJP Form AMJP-1A.2.4.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	120	120
Annual IC Time Burden (Hours)	240	240
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.