Information Collection

OSHS Cooperative Agreement and Work Statements

IC 188893 under ICR 201004-1220-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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 2010 OSHS Cooperat OSHS Cooperative Agreement and Work Statements	Form and Instruction
2010 OSHS Cooperat 2010 OSHS Cooperative Agreement and Work Statements 2010 OSHS Cooperative Agreement and Work Statements.doc	Form and Instruction
BLS-OSHS2 BLS OSHS Quarterly Financial Report BLS-OSHS Quarterly Financial Report.doc	Form and Instruction
2011 OSHS Cooperat 2011 OSHS Cooperative Agreement and Work Statements 2011 OSHS Cooperative Agreement and Work Statements.doc	Form and Instruction

IC Title:

OSHS Cooperative Agreement and Work Statements

Agency IC Tracking Number:

IC Status: Modified

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2010 OSHS Cooperative Agreement and Work Statement	2010 OSHS Cooperative Agreement and Work Statements	2010 OSHS Cooperative Agreement and Work Statements.doc	No		Paper Only
Form and Instruction	BLS-OSHS2	BLS OSHS Quarterly Financial Report	BLS-OSHS Quarterly Financial Report.doc	Yes	No	Printable Only
Form and Instruction	2011 OSHS Cooperative Agreement and Work Statement	2011 OSHS Cooperative Agreement and Work Statements	2011 OSHS Cooperative Agreement and Work Statements.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: 58

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	Previously Approved
Annual Number of Responses for this IC	290	290
Annual IC Time Burden (Hours)	348	348
Annual IC Cost Burden (Dollars)	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.