(1) ARMY FOSTER CARE NEEDS ASSESSMENT PROJECT (2) BEHAVIOR PROBLEM CHECKLIST

ICR 198308-0702-001

OMB: 0702-0055

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
0702-0055 198308-0702-001
Historical Active
DOD/DOA
(1) ARMY FOSTER CARE NEEDS ASSESSMENT PROJECT (2) BEHAVIOR PROBLEM CHECKLIST
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/15/1983
Retrieve Notice of Action (NOA) 08/18/1983
  Inventory as of this Action Requested Previously Approved
11/30/1985 11/30/1985
900 0 0
585 0 0
0 0 0

ASSESSMENT OF NUMBER OF CHILDREN OF ARMY MEMBERS AND DEMOGRAPHIC DATA CONCERNING CHILD, FAMILY, AND AGENCIES PROVIDING SERVICES TO BE USED B HEALTH SERVICES COMMAND AND DEPARTMENT OF ARMY IN RESPECT TO DECISIONS RELATED TO ARMY COMMUNITY SERVICE CENTERS.

None
None


No

1
IC Title Form No. Form Name
(1) ARMY FOSTER CARE NEEDS ASSESSMENT PROJECT (2) BEHAVIOR PROBLEM CHECKLIST

  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 900 0 0 900 0 0
Annual Time Burden (Hours) 585 0 0 585 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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