Worker Classification Survey

Documents and Forms

Document Name Document Type
Worker Classification Survey_OMB Attachment C Survey 04-24-14 clean.docx Other-Survey
Worker Classification Survey-OMB Attachment B Privacy Statement 09-13-13.docx Worker Classification Survey-OMB Attachment B-Privacy Statement IC Document
Worker_Classification_Survey-OMB_Attachment_A1_NRFU_letter_09-13-13(2).docx Worker Classification Survey-OMB Attachment-A1 NRFU letter IC Document
Worker_Classification_Survey-OMB_Attachment_A2_NRFU_letter_09-13-13(2).docx Worker Classification Survey-OMB Attachment A2-NRFU letter IC Document
Worker Classification Survey-OMB Attachment D Estimation 09-13-13.docx Worker Classification Survey-OMB Attachment D-Estimation IC Document
Worker Classification Survey-OMB Attachment F Survey questions crosswalk_09-13-2013.docx Worker Classification Survey-OMB Attachment F-Survey Questions Crosswalk IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Worker Classification Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Worker Classification Survey_OMB Attachment C Survey 04-24-14 clean.docx		No		Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,906	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24,966	24,966
Annual IC Time Burden (Hours)	4,007	4,007
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Worker Classification Survey-OMB Attachment B-Privacy Statement	Worker Classification Survey-OMB Attachment B Privacy Statement 09-13-13.docx	10/31/2013
Worker Classification Survey-OMB Attachment-A1 NRFU letter	Worker_Classification_Survey-OMB_Attachment_A1_NRFU_letter_09-13-13(2).docx	10/31/2013
Worker Classification Survey-OMB Attachment A2-NRFU letter	Worker_Classification_Survey-OMB_Attachment_A2_NRFU_letter_09-13-13(2).docx	10/31/2013
Worker Classification Survey-OMB Attachment D-Estimation	Worker Classification Survey-OMB Attachment D Estimation 09-13-13.docx	11/01/2013
Worker Classification Survey-OMB Attachment F-Survey Questions Crosswalk	Worker Classification Survey-OMB Attachment F Survey questions crosswalk_09-13-2013.docx	11/01/2013

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