Information Collection

Request To Employer For Verification - Applicants Employment And Earnings

IC 174186 under ICR 197812-2900-007 · OMB 2900-0071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0071 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	REQUEST TO EMPLOYER FOR VERIFICATION - APPLICANTS EMPLOYMENT AND EARNINGS	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
Form	26-253				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,000	17,000	8,000
Annual IC Time Burden (Hours)	4,167	2,834	1,333
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.