YOUTH CONSERVATION CORPS MEDICAL HISTORY

ICR 198308-0596-003

OMB: 0596-0083

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
103759 Migrated
ICR Details
0596-0083 198308-0596-003
Historical Active
USDA/FS
YOUTH CONSERVATION CORPS MEDICAL HISTORY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/23/1983
Retrieve Notice of Action (NOA) 08/18/1983
  Inventory as of this Action Requested Previously Approved
09/30/1986 09/30/1986
2,500 0 0
1,250 0 0
0 0 0

THE YOUTH CONSERVATION CORPS APPLICANT WHO IS SELECTED FOR EMPLOYMENT MUST, BY ADMINISTRATIVE REQUIREMENT, SUBMIT A PHYSICIAN'S CERTIFIED MEDICAL HISTORY REPORT VERIFYING THE YOUTH'S PHYSICAL SUITABILITY FOR THE PROGRAM.

None
None


No

1
IC Title Form No. Form Name
YOUTH CONSERVATION CORPS MEDICAL HISTORY FS-1800-3

  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 2,500 0 0 2,500 0 0
Annual Time Burden (Hours) 1,250 0 0 1,250 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.
08/18/1983


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