QUARTERLY ESTIMATE OF EXPENDITURES

ICR 197906-0980-004

OMB: 0980-0036

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
116125 Migrated
ICR Details
0980-0036 197906-0980-004
Historical Active
HHS/HDSO
QUARTERLY ESTIMATE OF EXPENDITURES
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/07/1979
Retrieve Notice of Action (NOA) 06/28/1979
  Inventory as of this Action Requested Previously Approved
07/31/1981 07/31/1981
228 0 0
342 0 0
0 0 0

THIS REPORT FORM IS THE BASIS FOR MAKING AN ADVANCE GRANT AWARD BASED UPON ESTIMATED REIMBURSABLE EXPENDITURES BY STATE, TAKING INTO ACCOUNT VARYING RATES OF FFP AND STATUTORY ANNUAL ALLOTMENTS OF FEDERAL FUNDS AMONG THE STATES. COVERS TITLE XX SOCIAL SERVICES AND RELATED PERSONNEL TRAINING AND WIN PROGRAM'S CHILD CARE AND SUPPORTIVE SOCIAL SERVICES.

None
None


No

1
IC Title Form No. Form Name
QUARTERLY ESTIMATE OF EXPENDITURES HDS-APS-65, HDS-OPCR 65

  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 228 0 0 0 228 0
Annual Time Burden (Hours) 342 0 0 0 342 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.
06/28/1979


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