Information Collection

Waivers of Rights and Claims Under the ADEA; Informational Requirements

IC 29381 under ICR 202309-3046-001 · OMB 3046-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Published ADEA 60-Day Notice (2023.06.12).pdf 60 Day Federal Register Notice	IC Document
Published ADEA 60-Day Notice (2023.06.12).pdf 60 Day Federal Register Notice	IC Document
Published ADEA 30-Day Notice (2023.09.08).pdf 30 Day Federal Register Notice	IC Document
Published ADEA 30-Day Notice (2023.09.08).pdf 30 Day Federal Register Notice	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1625.22

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: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,489

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: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,489	-936	2,425
Annual IC Time Burden (Hours)	24,107	-15,154	39,261
Annual IC Cost Burden (Dollars)	1,154,335	1,154,335	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
60 Day Federal Register Notice		09/08/2023
30 Day Federal Register Notice		09/08/2023

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

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