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Federal forms, ICRs, and supporting documents

Information Collection Request

Continuation Sheet for Item #16 (Additional Information) OF-306, Declaration for Federal Employment

ICR 200412-1545-019 · OMB 1545-1921 · Historical Active

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IC IDCollectionTypeStatusForm
19622 Continuation Sheet for Item #16 (Additional Information) OF-306, Declaration for Federal Employment Form Migrated
ICR Details
1545-1921 200412-1545-019
Historical Active
TREAS/IRS
Continuation Sheet for Item #16 (Additional Information) OF-306, Declaration for Federal Employment
New collection (Request for a new OMB Control Number)   No
Emergency 12/30/2004
Approved without change 12/23/2004
Retrieve Notice of Action (NOA) 12/23/2004
  Inventory as of this Action Requested Previously Approved
08/31/2005 08/31/2005
24,813 0 0
6,203 0 0
0 0 0
Form 12114 is used as a continuation to the OF-306 to provide additional space for capturing additional information.
None
None
No
1
IC Title Form No. Form Name
Continuation Sheet for Item #16 (Additional Information) OF-306, Declaration for Federal Employment 12114
  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 24,813 0 0 24,813 0 0
Annual Time Burden (Hours) 6,203 0 0 6,203 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.
12/23/2004