Information Collection

Annual State Win Plan (state Win Training Plan, Signature Sheet, And Work Sheets)

IC 116155 under ICR 198112-0980-002 · OMB 0980-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ETA 8480	No	No
Form	8482,8485	No	No
Form	8479, 8484	No	No

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 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	317	317
Annual IC Time Burden (Hours)	15,920	15,920
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.

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