Employee Benefits Survey

ICR 199704-1220-007

OMB: 1220-0084

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
169062
Migrated
ICR Details
1220-0084 199704-1220-007
Historical Active 199506-1220-003
DOL/BLS
Employee Benefits Survey
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 04/15/1997
Retrieve Notice of Action (NOA) 04/15/1997
  Inventory as of this Action Requested Previously Approved
09/30/1997 09/30/1997 09/30/1997
2,300 0 1
2,875 0 3,975
0 0 0

The Employee Benefits Survey generates detailed information on employee benefits in small (1-99 employees) private establishments and State and local governments and, in alternating years, medium and large private establishments. EBS data are currently used by Federal agencies and Congress to determine policy affecting benefits of all workers and by the private sector and State and local governments in benefits administration, union negotiations, and research.

None
None


No

1
IC Title Form No. Form Name
Employee Benefits Survey

  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 2,300 1 0 2,299 0 0
Annual Time Burden (Hours) 2,875 3,975 0 -1,100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
Yes Part B of Supporting Statement
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.
04/15/1997


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