Information Collection

One Net Form: T/TA Assessment & Work Plan Form

IC 205799 under ICR 201302-0970-004 · OMB 0970-0377.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 One Net Form: T/TA Assessment & Work Plan Form	Form and Instruction
1 OneNet Form: Implementation Project Assessment and Work 9_OneNet Form - Implementation Project Assessment and Work Plan Form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form and Instruction	1	OneNet Form: Implementation Project Assessment and Work Plan Form	9_OneNet Form - Implementation Project Assessment and Work Plan Form.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	81	81
Annual IC Time Burden (Hours)	23	23
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.