View Information Collection (IC)

View Information Collection (IC)

IC Title:	OSHS Cooperative Agreement	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSHS FRW	BLS OSHS Financial Reconciliation Worksheet	OSHS FRW.pdf		Yes	Yes	Fillable Printable
Form	OSHS TCF	OSHS Transmittal and Certification Form	OSHS TCF.pdf		Yes	Yes	Fillable Printable
Form and Instruction	BLS OSHS PL	BLS OSHS Property Listing	OSHS Property Listing.pdf		Yes	Yes	Fillable Printable
Form and Instruction	BLS OSHS2	BLS-OSHS Quareterly Financial Report	BLS-OSHS2.pdf		Yes	Yes	Fillable Printable
Form and Instruction	OSHS CA	OSHS Cooperative Agreement - FY 2016	OSHS FY 2016 Cooperative Agreement.docx		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	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	406	0	406	0	0	0
Annual IC Time Burden (Hours)	367	0	367	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

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.