Information Collection Request

Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form

ICR 202410-3206-001 · OMB 3206-0036 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form DD Form 1918 Establishment Information Form Form and Instruction Modified Available
Form DD Form 1919 Wage Data Collection Form Form and Instruction Modified Available
Form DD Form 1919C Wage Data Collection Continuation Form Form and Instruction Modified Available
Form DD Form 1919C Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form Form and Instruction Modified Repair queued
2024 - Supporting statement Part A (1).docx Supporting Statement A Uploaded 2024-12-17 Repair queued
2024 - Supporting statement Part A.docx Supporting Statement A Uploaded 2024-10-01 Repair queued
2024 - Supporting statement Part B.docx Supporting Statement B Uploaded 2024-10-01 Repair queued
2024 - Supporting statement Part B.docx Supporting Statement B Uploaded 2024-10-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
33555 Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form Form and Instruction ModifiedEstablishment Information Form
33555 Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form Form and Instruction ModifiedWage Data Collection Form
33555 Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form Form and Instruction ModifiedWage Data Collection Continuation Form
33555 Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2027 36 Months From Approved 12/31/2024
21,760 0 21,760
65,280 0 65,280
1,023,917 0 1,018,368





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form DD Form 1919C, DD Form 1919, DD Form 1918 ,   ,  

table that charts list of burden
  Total Approved 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 21,760 21,760 0 0 0 0
Annual Time Burden (Hours) 65,280 65,280 0 0 0 0
Annual Cost Burden (Dollars) 1,023,917 1,018,368 0 5,549 0 0


Reginfo record details
  Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 10 calendar days from the date the agency's RCF including the common form was received in OIRA.
 
Reginfo record details
table that charts list of RCF
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title