HEALTH AUTHORITY APPROVAL - INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM

ICR 197706-2502-011

OMB: 2502-0014

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2502-0014 197706-2502-011
Historical Active 197706-2502-010
HUD/OH
HEALTH AUTHORITY APPROVAL - INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/14/1977
Approved with change 06/14/1977
Retrieve Notice of Action (NOA) 06/14/1977
  Inventory as of this Action Requested Previously Approved
09/30/1978 09/30/1978 09/30/1978
4,000 0 4,000
4,000 0 4,000
0 0 0



None
None


No

1
IC Title Form No. Form Name
HEALTH AUTHORITY APPROVAL - INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA-2573

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 4,000 4,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/14/1977


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