AFDC WIN GRANT REDUCTIONS AND CERTIFICATIONS REPORT

ICR 197906-0980-006

OMB: 0980-0020

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
116096 Migrated
ICR Details
0980-0020 197906-0980-006
Historical Active 197812-0980-003
HHS/HDSO
AFDC WIN GRANT REDUCTIONS AND CERTIFICATIONS REPORT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/14/1979
Retrieve Notice of Action (NOA) 06/18/1979
  Inventory as of this Action Requested Previously Approved
09/30/1980 09/30/1980
2,200 0 0
550 0 0
0 0 0

THE WIN 117 PART A REPORT IS USED TO REPORT THE NUMBER OF CERTIFICATIONS, WITH BREAKOUTS BY TYPE. THE WIN 117 PART B REPORT FORM IS USED TO REPORT THE AMOUNT OF REDUCTION OR CHANGE IN GRANTS DUE TO EMPLOYMENT OR REGISTRANTS.

None
None


No

1
IC Title Form No. Form Name
AFDC WIN GRANT REDUCTIONS AND CERTIFICATIONS REPORT HDS-WIN-117,, PARTS A&B, HDS-WIN 117, PARTS A&B, SAU 4, IM 9

  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 2,200 0 0 0 2,200 0
Annual Time Burden (Hours) 550 0 0 0 550 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.
06/18/1979


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