Information Collection

SACWIS Review Guide

IC 197829 under ICR 201105-0970-003 · OMB 0970-0159.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SACWIS_Review_Guide 2011_6_17_11.doc	Instruction
SACWIS Review Guide Appendices 2011.doc appendicies	IC Document

IC Title:

SACWIS Review Guide

Agency IC Tracking Number:

Is this a Common Form? No

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
Instruction					Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3	0	3
Annual IC Time Burden (Hours)	750	150	600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
appendicies		05/18/2011

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

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