TITLE III REQUEST FOR ASSISTANCE AND ANNUAL REPORT

ICR 197811-3335-001

OMB: 3335-0001

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
160777
Migrated
ICR Details
3335-0001 197811-3335-001
Historical Active 197805-3335-001
REGS/RMS
TITLE III REQUEST FOR ASSISTANCE AND ANNUAL REPORT
Revision of a currently approved collection   No
Regular
Approved without change 12/01/1978
Retrieve Notice of Action (NOA) 11/08/1978
  Inventory as of this Action Requested Previously Approved
11/30/1979 11/30/1979 09/30/1979
109 0 54
3,820 0 2,160
0 0 0



None
None


No

1
IC Title Form No. Form Name
TITLE III REQUEST FOR ASSISTANCE AND ANNUAL REPORT

  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 109 54 0 0 55 0
Annual Time Burden (Hours) 3,820 2,160 0 0 1,660 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.
11/08/1978


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