i) 20 CFR 411.320; SSA-1394 - EN Contract Changes

The Ticket to Work and Self-Sufficiency Program, 20 CFR 411

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0644 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-1394 i) 20 CFR 411.320; SSA-1394 - EN Contract Changes Form and Instruction
SSA-1394 Employment Network Contract Change Form SSA-1394.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	i) 20 CFR 411.320; SSA-1394 - EN Contract Changes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 411.320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1394	Employment Network Contract Change Form	SSA-1394.pdf		Yes	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 202	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	202	202
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.