1. State Agency Ticket Assignment Form. 2. State Vocational Rehabilitation Ticket to Work Information Sheet and 3. Individual Work Plans (IWP) Information Sheet

1. State Agency Ticket Assignment Form. 2. State Vocational Rehabilitation Ticket to Work Information Sheet and 3. Individual Work Plans (IWP) Information Sheet

OMB: 0960-0641

IC ID: 9671

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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1. State Agency Ticket Assignment Form. 2. State Vocational Rehabilitation Ticket to Work Information Sheet and 3. Individual Work Plans (IWP) Information Sheet
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1365 No No
Form SSA-1366 No No
Form SSA-1367 No No


    

31,492 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 31,492 0 0 0 0 31,492
Annual IC Time Burden (Hours) 5,915 0 0 0 0 5,915
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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