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			SACWIS_Review_Guide 2011_6_17_11.doc		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	SACWIS Review Guide Appendices 2011.doc	05/18/2011

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