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Quarterly Work Incentive Demonstration Program Report Win Demonstration Data Validation Employer/employee Quest. Win Demonstr. Data Validat. State/local Office Staff Quest.

IC 166735 under ICR 198608-0960-026 · OMB 0960-0254.

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QUARTERLY WORK INCENTIVE DEMONSTRATION PROGRAM REPORT WIN DEMONSTRATION DATA VALIDATION EMPLOYER/EMPLOYEE QUEST. WIN DEMONSTR. DATA VALIDAT. STATE/LOCAL OFFICE STAFF QUEST.
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4769 No No
Form (9-81) No No


    

567 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 104 0 -463 0 0 567
Annual IC Time Burden (Hours) 1,560 0 172 0 0 1,388
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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