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Annual State Win Plan (state Win Training Plan, Signature Sheet, And Work Sheets)
ANNUAL STATE WIN PLAN (STATE WIN TRAINING PLAN, SIGNATURE SHEET, AND WORK SHEETS)
OMB: 0980-0051
IC ID: 116155
OMB.report
HHS/HDSO
OMB 0980-0051
ICR 198112-0980-002
IC 116155
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ANNUAL STATE WIN PLAN (STATE WIN TRAINING PLAN, SIGNATURE SHEET, AND WORK SHEETS)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA 8480
No
No
Form
8479, 8484
No
No
Form
8482,8485
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
317
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
317
0
0
317
0
0
Annual IC Time Burden (Hours)
15,920
0
0
15,920
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.