APPLICATION FOR FEDERAL ASSISTANCE(SHORT FORM)

ICR 197803-3206-001

OMB: 3206-0085

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
156805 Migrated
ICR Details
3206-0085 197803-3206-001
Historical Active
OPM
APPLICATION FOR FEDERAL ASSISTANCE(SHORT FORM)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/31/1978
Retrieve Notice of Action (NOA) 03/21/1978
  Inventory as of this Action Requested Previously Approved
03/31/1983 03/31/1983
200 0 0
600 0 0
0 0 0

USED BY STATE AND LOCAL GOVERNMENTS TO APPLY FOR 1 YEAR NONRENEWABLE FEDERAL GRANTS UNDER THE INTERGOVERNMENTAL PERSONNEL ACT. INFORMATION COLLECTED ON THIS FORM IS PRESCRIBED BY OMB CIRCULAR A-102. OMB BULLETIN 80-11 STATES, "BURDEN ESTIMATES ARE NOT REQUIRED AT THIS TIME" FOR STANDARD APPLICATIONS PRESCRIBED BY OMB CIRCULAR A-102.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR FEDERAL ASSISTANCE(SHORT FORM) CSC 1149, OPM 1149

  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 200 0 0 0 200 0
Annual Time Burden (Hours) 600 0 0 0 600 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.
03/21/1978


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