ANNUAL STATE WIN PLAN, WORKSHEETS 1-6 AND SIGNATURE PAGE

ICR 198109-0980-003

OMB: 0980-0051

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
116154 Migrated
ICR Details
0980-0051 198109-0980-003
Historical Active 198005-0980-006
HHS/HDSO
ANNUAL STATE WIN PLAN, WORKSHEETS 1-6 AND SIGNATURE PAGE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/15/1981
Retrieve Notice of Action (NOA) 09/08/1981
  Inventory as of this Action Requested Previously Approved
11/30/1981 11/30/1981
317 0 0
15,920 0 0
0 0 0

THE STATE WIN PLAN (SWP) IS THE BASIC VEHICLE FOR PROVIDING WIN FUNDS TO STATE AGENCIES FOR THE OPERATION OF THE WIN PROGRAM. IT INDICATES THE LEVELS AND KINDS OF SERVICES TO BE PROVIDED TO EMPLOYABLE AFDC RECIPIENTS AND HOW THE FUNDS ARE TO BE UTILIZED, INCLUDING STAFFING LEVELS. THE SWP WORKSHEETS NOS. 1-6 CALL FOR BACKUP INFORMATION NEEDED TO ASSURE THAT FEDERAL FUNDS WILL BE USED IN A RESPONSIBLE, ACCOUNTABLE AND EFFECTIVE MANNER.

None
None


No

1
IC Title Form No. Form Name
ANNUAL STATE WIN PLAN, WORKSHEETS 1-6 AND SIGNATURE PAGE ETA-8479, ETA-8480, ETA-8481, ETA-8482, ETA-8483, ETA-8484, ETA-8485

  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 317 0 0 0 317 0
Annual Time Burden (Hours) 15,920 0 0 0 15,920 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.
09/08/1981


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