Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits

Form 8850--Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits

OMB: 1545-1500

IC ID: 18507

Information Collection (IC) Details

View Information Collection (IC)

Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form 8850 Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits Form 8850.pdf Yes Yes Fillable Fileable
Instruction Form 8850 Inst.pdf Yes No Printable Only
Form Form 8850 Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credit Form 8850 (2011 Draft).pdf Yes Yes Fillable Fileable
Instruction Form 8850 Inst. (2011 Draft).pdf Yes No Printable Only

General Government Taxation Management

 

440,000 0
   
Private Sector Businesses or other for-profits
 
   30 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 440,000 80,000 -80,000 0 0 440,000
Annual IC Time Burden (Hours) 3,335,200 1,860,400 -606,400 0 0 2,081,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Burden (2011) Burden.PDF 12/15/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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