ELIGIBILITY STATEMENT FOR STATE CHILD ABUSE AND NEGLECT PROGRAMS (HEW FORM 627) EXPLANATION OF HEW FORM 627

ICR 197912-0980-005

OMB: 0980-0005

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0980-0005 197912-0980-005
Historical Active 197411-0980-001
HHS/HDSO
ELIGIBILITY STATEMENT FOR STATE CHILD ABUSE AND NEGLECT PROGRAMS (HEW FORM 627) EXPLANATION OF HEW FORM 627
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/31/1979
Retrieve Notice of Action (NOA) 12/04/1979
  Inventory as of this Action Requested Previously Approved
11/30/1980 11/30/1980
50 0 0
100 0 0
0 0 0



None
None


No

1
IC Title Form No. Form Name
ELIGIBILITY STATEMENT FOR STATE CHILD ABUSE AND NEGLECT PROGRAMS (HEW FORM 627) EXPLANATION OF HEW FORM 627 HEW 627

  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 50 0 0 0 50 0
Annual Time Burden (Hours) 100 0 0 0 100 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.
12/04/1979


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