Information Collection

Federal Offset Processing Menu Screens - State Workers

IC 192238 under ICR 201603-0970-001 · OMB 0970-0161.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0161 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Federal Offset Processing Menu Screens - State Workers	Form and Instruction
1 FO screen prints transaction passport denial and release FO screen prints transaction passport denial and release.doc	Form and Instruction

IC Title:

Federal Offset Processing Menu Screens - State Workers

Agency IC Tracking Number:

Is this a Common Form? No

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	FO screen prints transaction passport denial and release	FO screen prints transaction passport denial and release.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Location and Collection System

FR Citation: 78 FR 58

Number of Respondents: 173

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
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	48,552	-650	49,202
Annual IC Time Burden (Hours)	486	92	394
Annual IC Cost Burden (Dollars)	0	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.