PERSONAL PROFILE INFORMATION ON NOMINEES FOR DELEGATES AND OBSERVERS, WHITE HOUSE CONFERENCE

ICR 198105-0980-001

OMB: 0980-0118

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
0980-0118 198105-0980-001
Historical Active
HHS/HDSO
PERSONAL PROFILE INFORMATION ON NOMINEES FOR DELEGATES AND OBSERVERS, WHITE HOUSE CONFERENCE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/12/1981
Retrieve Notice of Action (NOA) 05/07/1981
that HHS publish a Report on New System in the Federal Register and file the report as required by the Privacy Act of l974.
  Inventory as of this Action Requested Previously Approved
08/31/1981 08/31/1981
11,749 0 0
321 0 0
0 0 0

BEGINNING 1/81 THRU 7/81 THE CONFERENCE SET FORTH GUIDELINES FOR THE DELEGATION TO ASSURE CERTAIN MINIMUM REPRESENTATION. THUS IN REVIEWIN NOMINATION FROM GUBERNATORIAL AND CONGRESSIONAL ALLOCATION, THE CONFERENCE NEEDED TO KNOW ABOUT SEX, AGE, URBAN/RURAL AND MINORITY REPRESENTATION. OTHER INFORMATION SUCH AS PHONE NUMBERS, ADDRESSES AN SPECIAL NEEDS ARE NECESSARY TO FACILITATE LOGISTICS ARRANGEMENT.

None
None


No

1
IC Title Form No. Form Name
PERSONAL PROFILE INFORMATION ON NOMINEES FOR DELEGATES AND OBSERVERS, WHITE HOUSE CONFERENCE

  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 11,749 0 0 11,749 0 0
Annual Time Burden (Hours) 321 0 0 321 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.
05/07/1981


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