Information Collection

Company Officers

IC 254853 under ICR 202310-0920-015 · OMB 0920-1373.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1373 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1373 Company Officers	Form and Instruction
Form 0920-1373 Att1b. FFFIPP Survey-Officer Company Officers	Form and Instruction
0920-1373 Att1b. FFFIPP Survey-Officer Att1b. FFFIPP Survey-Officer (003).docx	Form and Instruction
0920-1373 Att1b. FFFIPP Survey-Officer Att1b. FFFIPP Survey-Officer (003).docx	Form and Instruction

IC Title:

Company Officers

Agency IC Tracking Number:

0920-1373

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	0920-1373				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	1,350	1,350
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].