APPROVED WITH
MINOR CHANGES FOR SIX MONTHS ONLY. THE REQUEST FOR PROPOSED
EXPANSION OF THESE FORMS WAS WITHDRAWN BY HHS AFTER EXTENSIVE STATE
COMMENTS. HHS NEEDS TO WORK COOPERATIVELY WITH DOL AND THE STATES
TO DO A FULL SUNSET REVIEW OF THE EXISTING HHS/DOL DATA
REQUIREMENTS FOR WIN. ESPECIAL ATTENTION SHOULD BE GIVEN TO FEDERAL
PRACTICAL UTILITY AND DUPLICATION OF HHS AND DOL REPORTING
REQUIREMENT A REPORT OF FINDINGS INCLUDING SPECIFIC FEDERAL USES OF
DATA ELEMENTS MUST ACCOMPANY ANY EXTENSION REQUEST. The 1981 ICB
allowance for HHS was premised on the assumption that 2,207,083
hours were required for these four reporting requirements. HHS now
reestimates that only 9,915 hours are involved. As a consequence, a
downward adjustment (-2,197,168 hours) will be made to HHS' 1981
allowance at the time adjustments are made.
Inventory as of this Action
Requested
Previously Approved
08/31/1981
08/31/1981
09/30/1980
403,632
0
2,200
9,915
0
550
0
0
0
THE WIN 117 PART A REPORT IS USED TO
REPORT THE NUMBER OF CERTIFICATIONS, WITH BREAKOUTS BY TYPE. THE
WIN 117 PART B REPORT FORM IS USED TO REPORT THE AMOUNT OF
REDUCTION OR CHANGE IN GRANTS DUE TO EMPLOYMENT OR
REGISTRANTS.
IM 9, HDS-WIN-117,, PARTS A&B, HDS-WIN 117, PARTS A&B,
SAU 4
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
403,632
2,200
0
0
401,432
0
Annual Time Burden (Hours)
9,915
550
0
0
9,365
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
No
No
$0
No
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.
WIN CERTIFICATION REPORT, SAU CERTIFICATION RECORD, WIN GRANT CHANGE REPORT, AND WIN GRANT CHANGE RECORD