a) 20 CFR 411.140(d)(2) - Ticket Assignability - Portal

The Ticket to Work and Self-Sufficiency Program

OMB: 0960-0644

IC ID: 201989

Documents and Forms
Document Name
Document Type
Other-Internet Screens
Other-Internet Screens
Other-Internet Screens
Other-Internet Screens
Other-screens
Other-screens
Information Collection (IC) Details

View Information Collection (IC)

a) 20 CFR 411.140(d)(2) - Ticket Assignability - Portal
 
No Unchanged
 
Voluntary
 
20 CFR 411.140(d)(2)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens Secure Provider Portal Screens.pdf Yes Yes Fillable Fileable Signable
Other-Internet Screens Portal Phase II Forms.pdf Yes Yes Fillable Fileable Signable
Other-screens DemoDeck.pptx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

91,484 0
   
Private Sector Businesses or other for-profits, 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 91,484 0 0 0 0 91,484
Annual IC Time Burden (Hours) 3,049 0 0 0 0 3,049
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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