Information Collection

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

IC 33555 under ICR 200510-3206-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Wage Data Collection 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-1919C	No	No
Form	DD-1918	No	No
Form	DD-1919	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,200	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	Previously Approved
Annual Number of Responses for this IC	21,200	21,200
Annual IC Time Burden (Hours)	75,800	75,800
Annual IC Cost Burden (Dollars)	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.