Information Collection

Electronic Wage Report Sheltered Workshop

IC 182488 under ICR 201012-0960-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
SW1 screens.pdf	Other-GSO for Sheltered Workshop

IC Title:

Electronic Wage Report Sheltered Workshop

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Other-GSO for Sheltered Workshop			SW1 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: 900

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,800	-1,200	12,000
Annual IC Time Burden (Hours)	2,700	-300	3,000
Annual IC Cost Burden (Dollars)	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.