Information Collection

New Hire: Employer Reporting Manually

IC 9955 under ICR 202507-0970-004 · OMB 0970-0166.

Documents and Forms

Document Name Document Type
Form 1 New Hire: Employer Reporting Manually Form and Instruction
Form 1 New Hire Input Record Specifications New Hire: Employer Reporting Manually Form and Instruction
1 New Hire Input Record Specifications 0970-0166_NDNH_GDS_New_Hire_Input_Record_Specifications_v13_4.pdf Form and Instruction
1 New Hire Input Record Specifications 0970-0166_NDNH_GDS_New_Hire_Input_Record_Specifications_v13_4.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	New Hire: Employer Reporting Manually	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	1	New Hire Input Record Specifications	0970-0166_NDNH_GDS_New_Hire_Input_Record_Specifications_v13_4.pdf		No		Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Location and Collection System	FR Citation: 70 FR 21200

Number of Respondents: 5,667,878	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,841,890	1,861,468	6,980,422
Annual IC Time Burden (Hours)	221,047	46,536	174,511
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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