Information Collection

Benefit Accuracy Measurement (BAM) Program

IC 43790 under ICR 200606-1205-006 · OMB 1205-0245.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Benefit Accuracy Measurement (BAM) Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-395				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 188,984	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	547,160	500,000	47,160
Annual IC Time Burden (Hours)	429,805	6,562	423,243
Annual IC Cost Burden (Dollars)	542,000	38,000	504,000

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.