Competency and CIDI Screener

Supported Employment Demonstration (SED) Project

OMB: 0960-0806

IC ID: 226125

Documents and Forms
Document Name
Document Type
Other-CIDI Screener
Other-Additional screener questions
Information Collection (IC) Details

View Information Collection (IC)

Competency and CIDI Screener
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-CIDI Screener SED Attachments J3-K (05-03-2017).pdf No   Paper Only
Other-Additional screener questions SED Attachment J2 (05-03-17).xlsx No   Paper Only

Income Security General Retirement and Disability

 

3,000 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 3,000 0 3,000 0 0 0
Annual IC Time Burden (Hours) 2,000 0 2,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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