1.  A plus sign ('+') means put a '+' before positive numbers while a minus sign ('-') means left justify.  The documentation incorrectly states that they are interchangeable.  They produce unique results that can be combined:

<?php
echo sprintf ("|%+4d|%+4d|\n",   1, -1);
echo sprintf ("|%-4d|%-4d|\n",   1, -1);
echo sprintf ("|%+-4d|%+-4d|\n", 1, -1);
?>

outputs:

|  +1|  -1|
|1   |-1  |
|+1  |-1  |

2.  Padding with a '0' is different than padding with other characters.  Zeros will only be added at the front of a number, after any sign.  Other characters will be added before the sign, or after the number:

<?php
echo sprintf ("|%04d|\n",   -2);
echo sprintf ("|%':4d|\n",  -2);
echo sprintf ("|%-':4d|\n", -2);

// Specifying both "-" and "0" creates a conflict with unexpected results:
echo sprintf ("|%-04d|\n",  -2);

// Padding with other digits behaves like other non-zero characters:
echo sprintf ("|%-'14d|\n", -2);
echo sprintf ("|%-'04d|\n", -2);
?>

outputs:

|-002|
|::-2|
|-2::|
|-2  |
|-211|
|-2  |