View Information Collection (IC)

View Information Collection (IC)

Request for Employment Information
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ca-1027 Request for Employer Information ca-1027 final omb 1240-0047.doc No   Printable Only

Income Security General Retirement and Disability

DOL/GOVT-1  67 FR 16815

154 0
Private Sector Businesses or other for-profits
   0 %

  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 154 0 0 -277 0 431
Annual IC Time Burden (Hours) 39 0 0 -69 0 108
Annual IC Cost Burden (Dollars) 74 0 0 -133 0 207

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