View Information Collection (IC)

View Information Collection (IC)

Claim for Reimbursement-Assisted Reemployment
No Modified
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CA-2231 Claim for Reimbursement Assisted Reemployment CA-2231 working.pdf Yes No Fillable Printable

Workforce Management Labor Rights Management

DOL/GOVT-1  67 FR 16826

32 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 128 0 0 -40 0 168
Annual IC Time Burden (Hours) 64 0 0 -20 0 84
Annual IC Cost Burden (Dollars) 67 0 0 -15 0 82

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