Information Collection

Employer Appointment Of Agent

IC 130568 under ICR 199310-1545-001 · OMB 1545-0748.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	EMPLOYER APPOINTMENT OF AGENT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2678				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 94,020	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	94,020	664	93,356
Annual IC Time Burden (Hours)	47,010	332	46,678
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.