Information Collection

Establishment Information Form, Wage Data Collection Form, And Continuation Form

IC 176586 under ICR 198101-3206-007 · OMB 3206-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0036 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	ESTABLISHMENT INFORMATION FORM, WAGE DATA COLLECTION FORM, AND CONTINUATION FORM	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.	Available Electronically?	Can Be Submitted Electronically?
Form	DD-1918, DD	No	No
Form	1919, 1919C,	No	No
Form	VA 5-4684,	No	No
Form	5-4645, &	No	No
Form	5-4645A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,000	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	17,000	7,340	9,660
Annual IC Time Burden (Hours)	68,000	29,360	38,640
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.