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Project Able Enrollment Form, Able Beneficiaries Link To Employers
PROJECT ABLE ENROLLMENT FORM, ABLE BENEFICIARIES LINK TO EMPLOYERS
OMB: 3206-0214
IC ID: 157123
OMB.report
OPM
OMB 3206-0214
ICR 199306-3206-001
IC 157123
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0214 can be found here:
1997-01-21 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PROJECT ABLE ENROLLMENT FORM, ABLE BENEFICIARIES LINK TO EMPLOYERS
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
OPM 1622
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
8,300
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
8,300
0
8,300
0
0
0
Annual IC Time Burden (Hours)
1,328
0
1,328
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.