Waivers of Rights and Claims Under the ADEA; Informational Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3046-0042 can be found here:

Documents and Forms

Document Name Document Type
PRA-SUPPORTADEAwaivers.doc Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waivers of Rights and Claims Under the ADEA; Informational Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1625.22

Information Collection Instruments:

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

Line of Business: Litigation and Judicial Activities

Subfunction: Legal Investigation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,998	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	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	13,998	298	13,700
Annual IC Time Burden (Hours)	20,997	-20,003	41,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	PRA-SUPPORTADEAwaivers.doc	03/02/2007

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