Information Collection

DOL Procedural Guidelines for Processing 13(c)

IC 208184 under ICR 202512-1245-001 · OMB 1245-0006.

Documents and Forms

Document Name Document Type
REFERRAL TEMPLATE.pdf Other-DOL Referral Template

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DOL Procedural Guidelines for Processing 13(c)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 215

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-DOL Referral Template			REFERRAL TEMPLATE.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,851	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,851	-28	1,879
Annual IC Time Burden (Hours)	14,808	-224	15,032
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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

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