WIN REPORTING SYSTEM

ICR 197912-0980-003

OMB: 0980-0001

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
116037 Migrated
ICR Details
0980-0001 197912-0980-003
Historical Active 197808-0980-001
HHS/HDSO
WIN REPORTING SYSTEM
Revision of a currently approved collection   No
Regular
Approved without change 01/29/1980
Retrieve Notice of Action (NOA) 12/19/1979
  Inventory as of this Action Requested Previously Approved
09/30/1982 09/30/1982 09/30/1980
3,838,000 0 4,891,700
283,080 0 340,150
0 0 0

TO OBTAIN DATA FOR PROGRAM MONITORING ANF FINANCIAL MANAGEMENT. SOCIAL SECURITY ACT MANDATES THE CONTINUING EVALUATION OF THE WIN INCLUDING ITS EFFECTIVENESS IN ACHIEVING STATED GOALS. ETA 595 SERVES AS THE FORMAL REGISTRATION DOCUMENT FOR AFDC ELIGIBILITY AND PROVIDES REGISTRANT WITH A STATEMENT OF HIS/HER RIGHTS AND RESPONSIBILITIES. ETA 596 SERVES AS THE FORMAL EMPLOYABILITY PLAN DOCUMET AND THE CERTIFICATION RECORD. MA 5-97 RECORDS WIN REGISTRAN

None
None


No

1
IC Title Form No. Form Name
WIN REPORTING SYSTEM ETA-595,, 596, &, MA 5-97, ETA 595, ETA 596, MA 5-97

  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 3,838,000 4,891,700 0 0 -1,053,700 0
Annual Time Burden (Hours) 283,080 340,150 0 0 -57,070 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.
12/19/1979


© 2024 OMB.report | Privacy Policy