APPLICATION FORM - ABC RECOGNITION PROCESS

ICR 198102-0925-001

OMB: 0925-0131

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
111355
Migrated
ICR Details
0925-0131 198102-0925-001
Historical Active
HHS/NIH
APPLICATION FORM - ABC RECOGNITION PROCESS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/06/1981
Retrieve Notice of Action (NOA) 02/05/1981
  Inventory as of this Action Requested Previously Approved
04/30/1983 04/30/1983
100 0 0
1,000 0 0
0 0 0

THE INFORMATON IS REQUIRED TO DETERMINE IF THE REGION MEETS THE ESTABLISHED ABC CRITERIA. IN ADDITION, THE DATA WILL SUPPORT RESEARCH ON THE OPTIMAL MANAGEMENT OF REGIONAL BLOOD SERVICES, AND, COMBINED WITH PERFORMANCE MEASURE WILL DEMONSTRATE IMPROVEMENT IN BLOOD SERVICE DELIVERY.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FORM - ABC RECOGNITION PROCESS

  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 100 0 0 100 0 0
Annual Time Burden (Hours) 1,000 0 0 1,000 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.
02/05/1981


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