Waivers of Rights and Claims Under the ADEA; Informational Requirements

ICR 202309-3046-001

OMB: 3046-0042

Federal Form Document

Forms and Documents
Supplementary Document
Supplementary Document
Supporting Statement A
IC Document Collections
ICR Details
3046-0042 202309-3046-001
Received in OIRA 202007-3046-001
Waivers of Rights and Claims Under the ADEA; Informational Requirements
Extension without change of a currently approved collection   No
Regular 09/08/2023
  Requested Previously Approved
36 Months From Approved 09/30/2023
1,489 2,425
24,107 39,261
1,154,335 0

In order to allow an employee to make an informed decision, the ADEA requires that if an employer requests a waiver in association with a group termination program, the employer must disclose certain information to the employee in writing.

US Code: 29 USC 626(f)(1) Name of Law: Age Discrimination in Employment Act

Not associated with rulemaking

  88 FR 30847 06/12/2023
88 FR 62081 09/08/2023

IC Title Form No. Form Name
Waivers of Rights and Claims Under the ADEA; Informational Requirements

  Total Request 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 1,489 2,425 0 -936 0 0
Annual Time Burden (Hours) 24,107 39,261 0 -15,154 0 0
Annual Cost Burden (Dollars) 1,154,335 0 0 1,154,335 0 0
Miscellaneous Actions
For 2023, to calculate the Number of Respondents for the current collection, EEOC utilized an estimate of the total number of unique U.S. firms reporting a layoff in calendar year 2022. This estimate shows a decreased number of respondents from the 2020 collection, which resulted in the Annual Time Burden decreasing. With regard to the change in the annual cost burden, there was an inadvertent error in the 2020 ROCIS submission. The 2020 cost burden was $1,770,703, so the actual difference between 2020 and 2023 is $616,368 (i.e., $1,770,703 - $1,154,335).

Paul Guerino 202 921-3167 [email protected]


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

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