Information Collection

Claim for Schedule Award

IC 256186 under ICR 202209-1240-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CA-9 form updated 7.23.24.pdf Claim for Schedule Award	IC Document

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: 20 CFR 10.103

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

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: DOL/GOVT-1

FR Citation: 81 FR 47418

Number of Respondents: 775

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	775	775
Annual IC Time Burden (Hours)	388	388
Annual IC Cost Burden (Dollars)	16	16

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Claim for Schedule Award	CA-9 form updated 7.23.24.pdf	07/23/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.