Standardized Work Plan (SWP) Form

Standardized Work Plan (SWP) Form

OMB: 0906-0049

IC ID: 238619

Information Collection (IC) Details

View Information Collection (IC)

Standardized Work Plan (SWP) Form
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 SWP w Instructions and Burden Statement.pdf SWP w Instructions and Burden Statement.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,000 0
   
Private Sector Not-for-profit institutions
 
   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 1,000 0 0 0 0 1,000
Annual IC Time Burden (Hours) 1,000 0 0 0 0 1,000
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.

© 2024 OMB.report | Privacy Policy