Information Collection

OSHS 2009 Work Statements

IC 185424 under ICR 200806-1220-003 · OMB 1220-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0149 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSHS 2009 Work Sta OSHS 2009 Work Statements	Form and Instruction
OSHS 2009 Work Sta OSHS 2009 Work Statements 2009 OSHS CA (OMB Clearance).doc	Form and Instruction

IC Title:

OSHS 2009 Work Statements

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSHS 2009 Work Statements	OSHS 2009 Work Statements	2009 OSHS CA (OMB Clearance).doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	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	280	0	0	0	0	0
Annual IC Time Burden (Hours)	336	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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