Information Collection Request

Employee Representative's Status and Compensation Reports

ICR 202206-3220-001 · OMB 3220-0014 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form DC-2 (10-12) Employee Representative's Report of Compensation Form and Instruction Modified Available
Form Form DC-2 (10-12) Employee Representative's Status and Compensation Reports Form and Instruction Modified Available
Form DC-2a (02-19).pdf Supplementary Document Uploaded 2022-06-13 Repair queued
3220-0014.docx Supporting Statement A Uploaded 2022-06-13 Repair queued
Memo to Request for Emergency Extension to Extend Expiration Date.pdf Supplementary Document Uploaded 2019-04-30 Repair queued
DC-2 Transmittal Letter 2019.pdf Supplementary Document Uploaded 2019-04-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
44216 Employee Representative's Status and Compensation Reports Form and Instruction ModifiedEmployee Representative's Report of Compensation
44216 Employee Representative's Status and Compensation Reports Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2025 36 Months From Approved 09/30/2022
82 0 82
41 0 41
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
Employee Representative's Status and Compensation Reports Form DC-2 (10-12)

table that charts list of burden
  Total Approved 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 82 82 0 0 0 0
Annual Time Burden (Hours) 41 41 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No