ELIGIBILITY STATEMENT FOR STATE CHILD ABUSE AND NEGLECT PROGRAMS

ICR 198009-0980-006

OMB: 0980-0005

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
0980-0005 198009-0980-006
Historical Active 197912-0980-005
HHS/HDSO
ELIGIBILITY STATEMENT FOR STATE CHILD ABUSE AND NEGLECT PROGRAMS
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/16/1980
Approved with change 09/16/1980
Retrieve Notice of Action (NOA) 09/16/1980
  Inventory as of this Action Requested Previously Approved
02/28/1981 02/28/1981 11/30/1980
50 0 50
100 0 100
0 0 0

FORM IS USED BY STATE AGENCIES WHEN APPLYING FOR GRANTS UNDER SECTION 4(B) OF P.L. 93-247, AS AMENDED. FORM REQUIRES CERTIFICATION BY THE GOVERNOR THAT THE STATE HAS, IN PLACE, PROCEDURES AND PRACTICES SATISFYING THE TEN ELIGIBILITY REQUIREMENTS SPECIFIED IN THE ACT.

None
None


No

1
IC Title Form No. Form Name
ELIGIBILITY STATEMENT FOR STATE CHILD ABUSE AND NEGLECT PROGRAMS HEW 627, HHS 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 50 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 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.
09/16/1980


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