Information Collection

New Hire: Employer Reporting Manually

IC 9955 under ICR 202209-0970-012 · OMB 0970-0166.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0166 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 New Hire: Employer Reporting Manually	Form and Instruction
1 New Hire Input Record Specifications 0970-0166_NDNH_GDS_New_Hire_Input_Record_Specifications_v13_4.pdf	Form and Instruction
1 New Hire Input Record Specifications 0970-0166_NDNH_GDS_New_Hire_Input_Record_Specifications_v13_4.pdf	Form and Instruction

IC Title:

New Hire: Employer Reporting Manually

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 and Instruction	1	New Hire Input Record Specifications	0970-0166_NDNH_GDS_New_Hire_Input_Record_Specifications_v13_4.pdf		No		Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Location and Collection System

FR Citation: 70 FR 21200

Number of Respondents: 5,411,180

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,980,422	6,980,422
Annual IC Time Burden (Hours)	174,511	174,511
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.