INTERNSHIP STUDENT EVALUATION

ICR 197807-1121-001

OMB: 1121-0015

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
120129 Migrated
ICR Details
1121-0015 197807-1121-001
Historical Active 197711-1121-005
DOJ/OJP
INTERNSHIP STUDENT EVALUATION
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/07/1978
Retrieve Notice of Action (NOA) 07/26/1978
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983
500 0 0
250 0 0
0 0 0

AN EVALUATION OF THE PROGRAM BY THE RECIPIENT IN ORDER TO PROVIDE LEAA AND CONGRESS NECESSARY INFORMATION TO PERFORM PROPER PROGRAMMATIC DECISIONS.

None
None


No

1
IC Title Form No. Form Name
INTERNSHIP STUDENT EVALUATION LEAA 5500/, 6

  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 500 0 0 0 500 0
Annual Time Burden (Hours) 250 0 0 0 250 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.
07/26/1978


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