Information Collection

Continuous Wage And Benefit History (cwbh) Data

IC 120529 under ICR 197712-1205-003 · OMB 1205-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0013 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	CONTINUOUS WAGE AND BENEFIT HISTORY (CWBH) DATA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90,180	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90,180	90,126	54
Annual IC Time Burden (Hours)	151,200	3,520	147,680
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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