ANNUAL CERTIFICATION QUALIFIED NONPROFIT AGENCY FOR THE BLIND

ICR 198005-3037-001

OMB: 3037-0001

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3037-0001 198005-3037-001
Historical Active 197811-3037-002
CPBSD
ANNUAL CERTIFICATION QUALIFIED NONPROFIT AGENCY FOR THE BLIND
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/29/1980
Approved with change 05/29/1980
Retrieve Notice of Action (NOA) 05/29/1980
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981 12/31/1981
69 0 68
276 0 272
0 0 0

THE ANNUAL CERTIFICATION FORM IS TO DETERMINE THAT EACH WORKSHOP IS STILL MEETING THE LEGAL REQUIREMENT OF PUBLIC LAW 92-28. DATA COLLECT IS TO MEASURE EFFECTIVENESS OF COMMITTEE PROGRAM.

None
None


No

1
IC Title Form No. Form Name
ANNUAL CERTIFICATION QUALIFIED NONPROFIT AGENCY FOR THE BLIND COM 403

  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 69 68 0 0 1 0
Annual Time Burden (Hours) 276 272 0 0 4 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.
05/29/1980


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