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Notice to Employee of Change of 12-Month Period for Determining Entitlement (State, local, tribal)
 
No Modified
 
Mandatory
 
29 CFR 825.200(d)(1), (e)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Workforce Management Labor Rights Management

 

10,173 7,049
   
State, Local, and Tribal Governments
 
   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 2,262,259 0 0 -98,585 0 2,360,844
Annual IC Time Burden (Hours) 1,696 0 0 204 0 1,492
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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