Participant Contact Information Form

Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)

OMB: 0970-0413

IC ID: 202225

Documents and Forms
Document Name
Document Type
Other-Contact Info Form
Information Collection (IC) Details

View Information Collection (IC)

Participant Contact Information Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Contact Info Form Appendix_C_Contact Information Form 10-3-12.doc Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,667 0
   
Individuals or Households
 
   0 %

  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 1,667 0 0 0 0 1,667
Annual IC Time Burden (Hours) 133 0 0 0 0 133
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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