APPLICATION FOR REIMBURSEMENT OF EXPENSES

ICR 198101-0960-001

OMB: 0960-0411

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
115483 Migrated
ICR Details
0960-0411 198101-0960-001
Historical Inactive
SSA
APPLICATION FOR REIMBURSEMENT OF EXPENSES
New collection (Request for a new OMB Control Number)   No
Regular
Disapproved 01/16/1981
Retrieve Notice of Action (NOA) 01/08/1981
  Inventory as of this Action Requested Previously Approved
0 0 0
0 0 0
0 0 0

THE APPLICATION FORM IS NEEDED AND WILL BE USED TO DETERMINE WHETHER APPLICANTS MEET THE THREE CRITERIA FOR REIMBUREMENT UNDER A DEMONSTRA TION PROJECT TO ASSIST THOSE WISHING TO COMMENT ON PROPOSED REGULATIONS IMPLEMENTING THE ADOPTION ASSISTANCE AND CHILD WELFARE ACT OF 1980.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR REIMBURSEMENT OF EXPENSES 0S-29-80

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.
01/08/1981


© 2024 OMB.report | Privacy Policy