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Federal forms, ICRs, and supporting documents

Information Collection Request

Waiver of Rights and Claims Under the Age Discrimination in Employment Act (ADEA)

ICR 200006-3046-002 · OMB 3046-0043 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
29382 Waiver of Rights and Claims Under the Age Discrimination in Employment Act (ADEA) Migrated
ICR Details
3046-0043 200006-3046-002
Historical Active
EEOC
Waiver of Rights and Claims Under the Age Discrimination in Employment Act (ADEA)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/14/2000
Retrieve Notice of Action (NOA) 06/01/2000
Approved consistent with clarification in EEOC memo of 7-14-00 and conversation with EEOC of 7-14-00.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003
1 0 0
41,000 0 0
0 0 0
This regulation provides guidance on the use of waiver agreements under the ADEA. Title II of the Older Workers Benefit Protection Act requires employers who wish to obtain waiver agreements from their employees to disclose certain information to them. The regulation clarifies the type of information that must be disclosed. All employers with 20 or more employees can obtain waivers under this regulation.
None
None
No
1
IC Title Form No. Form Name
Waiver of Rights and Claims Under the Age Discrimination in Employment Act (ADEA)
  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 1 0 0 1 0 0
Annual Time Burden (Hours) 41,000 0 0 41,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
06/01/2000