Information Collection

Questionnaire To Determine Employee Exemption From Withholding

IC 129723 under ICR 198212-1545-004 · OMB 1545-0334.

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Information Collection (IC) Details

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IC Title:	QUESTIONNAIRE TO DETERMINE EMPLOYEE EXEMPTION FROM WITHHOLDING	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6450				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 67,000	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	Previously Approved
Annual Number of Responses for this IC	67,000	27,000	40,000
Annual IC Time Burden (Hours)	33,500	13,500	20,000
Annual IC Cost Burden (Dollars)	0	0	0

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