Representative Fee Request

Representative Fee Request

OMB: 1240-0049

IC ID: 13744

Information Collection (IC) Details

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Representative Fee Request
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 10.700-703

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ca-143 and ca-155 Attorney Fee Request CA- 143 CA -155 final for 2022.docx No   Paper Only

Workforce Management Training and Employment

DOL/GOVT-1  81 FR 47418

4,035 0
   
Private Sector Businesses or other for-profits
 
   80 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,035 0 0 -3,662 0 7,697
Annual IC Time Burden (Hours) 2,018 0 0 -1,831 0 3,849
Annual IC Cost Burden (Dollars) 985 0 0 -1,322 0 2,307

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