QUARTERLY WORK INCENTIVE DEMONSTRATION PROGRAM REPORT WIN DEMONSTRATION DATA VALIDATION EMPLOYER/EMPLOYEE QUEST. WIN DEMONSTR. DATA VALIDAT. STATE/LOCAL OFFICE STAFF QUEST.

ICR 198608-0960-026

OMB: 0960-0254

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0254 198608-0960-026
Historical Active 198412-0960-009
SSA
QUARTERLY WORK INCENTIVE DEMONSTRATION PROGRAM REPORT WIN DEMONSTRATION DATA VALIDATION EMPLOYER/EMPLOYEE QUEST. WIN DEMONSTR. DATA VALIDAT. STATE/LOCAL OFFICE STAFF QUEST.
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/03/1986
Approved with change 08/03/1986
Retrieve Notice of Action (NOA) 08/03/1986
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988 01/31/1988
104 0 567
1,560 0 1,388
0 0 0

THE INFO. COLLECTED BY USE OF THE WIN DEMONSTRATION PROGRAM REPORT IS NEEDED TO DETERMINE THE EFFECT OF THE DEMONSTRATION PROJECT AND WHETHE IT IS MORE EFFECTIVE THAN THE WIN PROGRAM OPERATED UNDER TITLE IV-C OF THE SOCIAL SECURITY ACT. THE LAW REQUIRES THE SECRETARY TO EVALUATE EACH STATE'S PROGRAM AT THE END OF 1 AND 3 YEARS, COMPARING PLACEMENT RATES BEFORE AND AFTER THE DEMONSTRATION. THE OBJECTIVE OF THE QUESTIO IS TO VALIDATE THE ACCURACY OF THE ENTERED EMPLOYMENT DATA REPORT BY W

None
None


No

  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 104 567 0 -463 0 0
Annual Time Burden (Hours) 1,560 1,388 0 172 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
08/03/1986


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