Non-Federal Employee Respondent

Incoming and Outgoing Intergovernmental Personnel Act (IPA) Assignment Agreement

OMB: 0960-0792

IC ID: 199023

Information Collection (IC) Details

View Information Collection (IC)

Non-Federal Employee Respondent
 
No Modified
 
Mandatory
 
5 CFR 334

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-187 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Incoming Assignments SSA-187 - Revised Version.pdf www.ssa.gov Yes No Fillable Printable
Form and Instruction SSA-188 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Outgoing Assignments SSA-188 - Revised Version.pdf www.ssa.gov Yes No Fillable Printable
Other-Revised Privacy Act Statement SSA- 187 - Revised Privacy Act Statement.pdf Yes No Printable Only
Other-Revised Privacy Act Statement SSA- 188 - Revised Privacy Act Statement.pdf Yes No Printable Only

General Government Central Personnel

 

10 0
   
State, Local, and Tribal Governments
 
   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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-187 Current Version SSA-187 - Current Version.pdf 09/20/2017
SSA-188 Current Version SSA-188 - Current Version.pdf 09/20/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy