Information Collection

Electronic Wage Report Sheltered Workshop

IC 182488 under ICR 200710-0960-004 · OMB 0960-0771.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0771 can be found here:

Documents and Forms

Document Name Document Type
SW Screens.pdf Other-GSO for Sheltered Workshop
PRA Sheltered Workshop Reporting.doc PRA Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Electronic Wage Report Sheltered Workshop	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-GSO for Sheltered Workshop			SW Screens.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PRA Statement	PRA Sheltered Workshop Reporting.doc	11/28/2007

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