Information Collection

Win Reporting System (hew Portion)

IC 166943 under ICR 197607-0980-002 · OMB 0980-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0020 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

WIN REPORTING SYSTEM (HEW PORTION)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SRS-NCSS-117	No	No
Form	PARTS A & B	No	No
Form	IM-9 SAU-4	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 268,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	268,000	268,000
Annual IC Time Burden (Hours)	25,330	25,330
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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