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Federal forms, ICRs, and supporting documents

Information Collection Request

Labor Organization Officer and Employee Report, Form LM-30 (Revised 2011)

ICR 201110-1245-001 · OMB 1245-0005 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form LM-30 Form LM-30 (Revised 2011) Form New Repair queued
Revised LM-30 Instructions (2011 - Final).pdf Supplementary Document Uploaded 2011-09-29 Repair queued
Revised LM-30 Form (2011 - Final).pdf Supplementary Document Uploaded 2011-09-29 Available
Note_to_Reviewer_LM-30_(6-3-11).doc Supplementary Document Uploaded 2011-08-16 Available
Supporting_Statement_Revised_Form_LM-30_(Final 20110816).doc Supporting Statement A Uploaded 2011-09-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
198016 Form LM-30 (Revised 2011) Form New
ICR Details
1245-0005 201110-1245-001
Historical Active 201106-1245-005
DOL/OLMS
Labor Organization Officer and Employee Report, Form LM-30 (Revised 2011)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/26/2011
Retrieve Notice of Action (NOA) 10/26/2011
DOL is reminded that the PRA requires collections associated with proposed rules to be submitted to OMB for review at the proposed rule stage.
  Inventory as of this Action Requested Previously Approved
09/30/2014 36 Months From Approved
1,932 0 0
2,898 0 0
0 0 0
The Labor-Management Reporting and Disclosure Act (LMRDA) requires labor organization officers and employees to disclose potential conflicts of interest between the labor organization officials and their labor organization. The Department of Labor established the Form LM-30, Labor Organization Officer and Employee Report, pursuant to this LMRDA requirement. All reports are available for public disclosure. Filers are required to retain supporting records for five years.
US Code: 29 USC 432 Name of Law: Labor-Management Reporting and Disclosure Act
   US Code: 29 USC 436 Name of Law: Labor-Management Reporting and Disclosure Act
   US Code: 29 USC 438 Name of Law: Labor-Management Reporting and Disclosure Act
  
None
1245-AA01 Final or interim final rulemaking 76 FR 66442 10/26/2011
No
1
IC Title Form No. Form Name
Form LM-30 (Revised 2011) LM-30 LM-30
  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 1,932 0 0 1,932 0 0
Annual Time Burden (Hours) 2,898 0 0 2,898 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
No
The Department is seeking a new information collection for the revised Form LM-30.
$6,490,504
No
No
No
No
No
Uncollected
Andrew Davis 202 693-1253 [email protected]
  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.
09/21/2011