Information Collection

OSHS Cooperative Agreement

IC 201527 under ICR 201404-1220-004 · OMB 1220-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0149 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS OSHS 2 BLS OSHS Quarterly Financial Report OSHS Cooperative Agreement	Form and Instruction
Form OSHS CA 2015 OSHS Cooperative Agreement OSHS Cooperative Agreement	Form and Instruction
Form OSHS TCF Transmittal and Certification Form OSHS Cooperative Agreement	Form
Form BLS OSHS Property BLS OSHS Property Listing OSHS Cooperative Agreement	Form and Instruction
Form OSHS FRW OSHS Financial Reconciliatiion Worksheet OSHS Cooperative Agreement	Form and Instruction
OSHS CA 2015 OSHS Cooperative Agreement OSHS FY 2015 CA.docx	Form and Instruction
OSHS TCF Transmittal and Certification Form OSHS TCF.pdf	Form
BLS OSHS Property BLS OSHS Property Listing OSHS Property Listing.pdf	Form and Instruction
OSHS FRW OSHS Financial Reconciliatiion Worksheet OSHS FRW.pdf	Form and Instruction
BLS OSHS 2 BLS OSHS Quarterly Financial Report BLS-OSHS2.pdf	Form and Instruction

IC Title:

OSHS Cooperative Agreement

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSHS CA	Yes	Yes	Printable Only
Form	OSHS TCF	Yes	Yes	Fillable Printable
Form and Instruction	BLS OSHS Property Listing	Yes	Yes	Fillable Printable
Form and Instruction	OSHS FRW	Yes	Yes	Fillable Printable
Form and Instruction	BLS OSHS 2	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	406	406
Annual IC Time Burden (Hours)	367	367
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.

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