PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENTS

ICR 198109-0920-003

OMB: 0920-0106

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
0920-0106 198109-0920-003
Historical Active
HHS/CDC
PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/25/1981
Retrieve Notice of Action (NOA) 09/14/1981
Approved on the condition that no further instructions or guidance wil be prepared for any of the block grant reporting besides that in the regulations.
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983
57 0 0
29,070 0 0
0 0 0

STATUTORY REQUIREMENTS FOR REPORTS DESCRIBING THE INTENDED USES OF ALLOTMENTS TO THE STATES UNDER THE PREVENTIVE HEALTH AND HEALTH SERVIC BLOCK GRANT.

None
None


No

1
IC Title Form No. Form Name
PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENTS

  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 57 0 0 57 0 0
Annual Time Burden (Hours) 29,070 0 0 29,070 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.
09/14/1981


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