Information Collection

State Plan Supplement To The Three-year State Plan For Vocational Rehabilitation Services Under Title I. As Amended By Title Vi, Part C (supported Employment Services)

IC 133587 under ICR 198707-1820-002 · OMB 1820-0551.

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Information Collection (IC) Details

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IC Title:	STATE PLAN SUPPLEMENT TO THE THREE-YEAR STATE PLAN FOR VOCATIONAL REHABILITATION SERVICES UNDER TITLE I. AS AMENDED BY TITLE VI, PART C (SUPPORTED EMPLOYMENT SERVICES)	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	B20-27P				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 86	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	86	86
Annual IC Time Burden (Hours)	172	172
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.