State Bonding Coordinators or AJC Counselors -- Data Collection and Submission

Fidelity Bonding Issuance

Documents and Forms

Document Name Document Type
Fidelity Bonding Issuance Form 061325.docx Other-Fidelity Bonding Issuance Form
Fidelity Bonding Issuance Form tracked.docx Fidelity Bonding Issuance Form tracked IC Document

Information Collection (IC) Details

IC Title:	State Bonding Coordinators or AJC Counselors -- Data Collection and Submission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Fidelity Bonding Issuance Form			Fidelity Bonding Issuance Form 061325.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fidelity Bonding Issuance Form tracked	Fidelity Bonding Issuance Form tracked.docx	06/13/2025

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