Annual State Win Plan, Worksheets 1-6 And Signature Page

ANNUAL STATE WIN PLAN, WORKSHEETS 1-6 AND SIGNATURE PAGE

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0051 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	ANNUAL STATE WIN PLAN, WORKSHEETS 1-6 AND SIGNATURE PAGE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ETA-8479	No	No
Form	ETA-8480	No	No
Form	ETA-8481	No	No
Form	ETA-8482	No	No
Form	ETA-8483	No	No
Form	ETA-8484	No	No
Form	ETA-8485	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 263	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	317	317
Annual IC Time Burden (Hours)	15,920	15,920
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.