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Federal forms, ICRs, and supporting documents

Information Collection

Worksite Supervisor Implementation Questionnaire

IC 202234 under ICR 201506-0970-017 · OMB 0970-0413.

Documents and Forms
Document Name
Document Type
Other-Worksite Supervisor Implementa
Information Collection (IC) Details

View Information Collection (IC)

Worksite Supervisor Implementation Questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Worksite Supervisor Implementation Questionnaire Appendix_H_Worksite Supervisor Implementation Questionnaire 10-3-12.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

80 0
   
Private Sector Businesses or other for-profits
 
   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 80 0 0 0 0 80
Annual IC Time Burden (Hours) 14 0 0 0 0 14
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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