OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

PATC - LEVEL OF BENEFITS SUMMER 1978 TEST STUDY OF SICK LEAVE/SICKNESS & ACCIDENT INSURANCE IN AWS ESTABLISHMENTS

ICR 197806-3206-003 · OMB 3206-0100 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
156851 PATC - LEVEL OF BENEFITS SUMMER 1978 TEST STUDY OF SICK LEAVE/SICKNESS & ACCIDENT INSURANCE IN AWS ESTABLISHMENTS Migrated
ICR Details
3206-0100 197806-3206-003
Historical Active 197702-3206-001
OPM
PATC - LEVEL OF BENEFITS SUMMER 1978 TEST STUDY OF SICK LEAVE/SICKNESS & ACCIDENT INSURANCE IN AWS ESTABLISHMENTS
Revision of a currently approved collection   No
Regular
Approved without change 06/20/1978
Retrieve Notice of Action (NOA) 06/13/1978
  Inventory as of this Action Requested Previously Approved
10/31/1978 10/31/1978 05/31/1978
100 0 50
200 0 25
0 0 0

None
None
No
1
IC Title Form No. Form Name
PATC - LEVEL OF BENEFITS SUMMER 1978 TEST STUDY OF SICK LEAVE/SICKNESS & ACCIDENT INSURANCE IN AWS ESTABLISHMENTS
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 50 0 0 50 0
Annual Time Burden (Hours) 200 25 0 0 175 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/13/1978