INITIAL CERTIFICATION QUALIFIED NONPROFIT AGENCY FOR THE SEVERELY HANDICAPPED

ICR 198107-3037-003

OMB: 3037-0003

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3037-0003 198107-3037-003
Historical Active 197811-3037-001
CPBSD
INITIAL CERTIFICATION QUALIFIED NONPROFIT AGENCY FOR THE SEVERELY HANDICAPPED
Extension without change of a currently approved collection   No
Regular
Approved without change 09/01/1981
Retrieve Notice of Action (NOA) 07/22/1981
  Inventory as of this Action Requested Previously Approved
12/31/1983 12/31/1983 12/31/1981
24 0 24
48 0 48
0 0 0

THE INITIAL CERTIFICATION FORM IS TO DETERMINE THAT THE WORKSHOP IS QUALIFIED AS A NONPROFIT AGENCY SERVING THE OTHER SEVERELY HANDICAPPED UNDER PUBLIC LAW 92-28.

None
None


No

1
IC Title Form No. Form Name
INITIAL CERTIFICATION QUALIFIED NONPROFIT AGENCY FOR THE SEVERELY HANDICAPPED COM 402

  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 24 24 0 0 0 0
Annual Time Burden (Hours) 48 48 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.
07/22/1981


© 2024 OMB.report | Privacy Policy