Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Employment Information Form	Modified	35350	11783	0	Form and Instruction	WH-3-Sp	Employment Information Form Spanish
					Form and Instruction	WH-3	Employment Information Form
					Instruction
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Total burden requested under this ICR:		35350	11783	0
To view an IC, click on IC Title