Document

Business (Contractors)

ICR 202605-0584-001 · OMB 0584-0686 · Object 171962500.

Document Viewer [docx]

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…

Document Metadata

Record metadata
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Business (Contractors)
Laurato, Lawrence - FNS
Writer
2026-08-25
2026-08-29
complete

Extracted Text


Data input into EmpowHR is collected on the EmpowHR/Person Model FNA 775 data sheet (Appendix B), which also contains the Public Burden statement.  See screen shot of Public Burden Statement below.




EmpowHR Data Entry Screen Shots