View Information Collection (IC)
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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Employment Verification Form
Agency IC Tracking Number:
ED-2016-ICCD-0012
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
34 CFR 263
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
N/A
Employment Verification Form
1810-0698 PD_employer_form 04182019.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
Indian Education Individual Reporting on Regulatory Compliance Related to the Indian Education Professional Development programs Service Obligation and GPRA
FR Citation:
76 FR 4334
Number of Respondents:
920
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
0
0
0
-920
0
920
Annual IC Time Burden (Hours)
0
0
0
-304
0
304
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
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