FINANCIAL STATUS REPORT (PROTECTION AND ADVOCAY PROGRAM)

ICR 198009-0980-002

OMB: 0980-0054

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
116160 Migrated
ICR Details
0980-0054 198009-0980-002
Historical Active
HHS/HDSO
FINANCIAL STATUS REPORT (PROTECTION AND ADVOCAY PROGRAM)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/27/1980
Retrieve Notice of Action (NOA) 09/30/1980
  Inventory as of this Action Requested Previously Approved
10/31/1982 10/31/1982
224 0 0
286 0 0
0 0 0

THIS STANDARD FINANCIAL INSTRUMENT IS USED BY THE ADMINISTRATION ON DEVELOPMENTAL DISABILITIES TO ASSURE PROPER DISBURSEMENT OF AND ACCOUNTING FOR FUNDS PAID TO THE STATE UNDER THE PROTECTION AND ADVOCACY PROGRAM. THE DATA COLLECTED IS A RECORDING OF EXPENDITURES INCURRED OR TO BE INCURRED UNDER THE APPROVED STATE PLAN. THE REPORTED INFORMATION IS PRIMARILY USED FOR MONITORING AND EVALUATING EXPENDITURES OF FEDERAL FUNDS RELATIVE TO THE PROTECTION AND

None
None


No

1
IC Title Form No. Form Name
FINANCIAL STATUS REPORT (PROTECTION AND ADVOCAY PROGRAM) SF-269

  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 224 0 0 224 0 0
Annual Time Burden (Hours) 286 0 0 286 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/30/1980


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