Work Incentives Planning and Assistance Program (WIPA)--Beneficiaries

Work Incentives Planning and Assistance (WIPA)

OMB: 0960-0629

IC ID: 9650

Information Collection (IC) Details

View Information Collection (IC)

Work Incentives Planning and Assistance Program (WIPA)--Beneficiaries
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A WIPA Beneficiary/Recipient Application WIPA Recipient Forms Revised Versions.pdf Yes Yes Fillable Fileable
Form N/A ETO System Fields ETO System Fields - Revised.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

30,000 0
   
Individuals or Households
 
   100 %

  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 30,000 0 -10,000 0 0 40,000
Annual IC Time Burden (Hours) 12,500 0 -7,500 0 0 20,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
WIPA Recipients Current Versions WIPA_Receipient_Forms Current Version.pdf 06/07/2013
ETO System Fields ETO System Fields - Current.pdf 06/13/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy