APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS

ICR 198306-0915-005

OMB: 0915-0058

Federal Form Document

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ICR Details
0915-0058 198306-0915-005
Historical Active 198303-0935-001
HHS/HSA
APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS
Revision of a currently approved collection   No
Regular
Approved without change 06/10/1983
Retrieve Notice of Action (NOA) 06/10/1983
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983
57 0 0
7,125 0 0
0 0 0

P.L. 96-79 - HEALTH PLANNING AND RESOURCES DEVELOPMENT AMENDMENT OF 1979- PROVIDES GRANTS FOR STATE HEALTH PLANNING AND DEVELOPMENT AGENCIES. APPLICATION AND REPORTING SYSTEM WILL OBTAIN INFORMATION NEEDED TO DESIGNATE AND MAKE GRANT AWARD TO APPLICANT BASED ON STATE ADMN. PRGRAM WHICH IS A DESCRIPTION OF APPLICANT'S ORGN./STAFF HOW IT WILL PERFORM STATUTORY MANDATED FUNCTS. INFO. USED TO FULFILL SEC. 15 (B) REQUIREM ENSURING COMP. IN TERMS OF STRUCTURE AND OPERATION.

None
None


No

1
IC Title Form No. Form Name
APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS PHS 5161,, HRSA 281-1,, 281-2, &, 282

  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 0 57 0
Annual Time Burden (Hours) 7,125 0 0 0 7,125 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.
06/10/1983


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