Document

Multistate Employer Registration Form

ICR 202204-0970-006 · OMB 0970-0166 · Object 120256400.

Document Viewer [pdf]

Status: No verified local artifact is currently available. The document remains flagged for repair and upstream re-check.

Queue: Repair is queued and waiting for the next worker pass. (priority 140 · attempts 4 · next 2026-07-22 13:07:06)

Missing: pdf

No local or Spaces-backed artifact is available yet for this document.

Primary: pdfSource: application/octet-stream
Loading document viewer…

Document Metadata

Record metadata
application/octet-stream
Multistate Employer Registration Form
Form provided for employers with employees in two or more states to register to submit their new hire reports to one state or to
Office of Child Support Enforcement
2021-12-13
2021-12-13
failed_conversion