DEPT. OF HEALTH AND HUMAN SERVICES OFFICE OF HUMAN DEVELOPMENT SERVICES, 45 CFR PARTS 1385, 1386, 1387 DEVELOPMENTAL DISABILITIES PROGRAM

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
116308	DEPT. OF HEALTH AND HUMAN SERVICES OFFICE OF HUMAN DEVELOPMENT SERVICES, 45 CFR PARTS 1385, 1386, 1387 DEVELOPMENTAL DISABILITIES PROGRAM		Migrated

ICR Details

OMB Control No: 0980-0162	ICR Reference No: 198402-0980-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HDSO	Agency Tracking No:
Title: DEPT. OF HEALTH AND HUMAN SERVICES OFFICE OF HUMAN DEVELOPMENT SERVICES, 45 CFR PARTS 1385, 1386, 1387 DEVELOPMENTAL DISABILITIES PROGRAM
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/1984
	Date Received in OIRA: 02/28/1984
Terms of Clearance: APPROVED WITH THE FOLLOWING CHANGES AGREED TO BY HHS: 1) DELETION OF PART 1386.30 (c)(3) RELATING TO THE IDENTIFICATION OF THE COUNCIL STAFF, 2) ADDITION OF PART 1386.30 (e) (4) AN ASSURANCE DEALING WITH THE SELECTION OF COUNIL STAFF, AND 3) MODIFICATION OF PART 1386.23(a) TO READ "AN ANNUAL REPORT DESCRIBING THE ACITIVITIES CARRIED OUT UNDER THE SYSTEM AND ANY CHANGES MADE IN THE SYSTEM DURING THE PREVIOUS YEAR AND ADDRESSING SUCH OTHER ITEMS AS PRESCRIBED BY THE SECRETARY AND APPROVED UNDER THE PAPERWORK REDUCTIONN ACT. THE REPORT MAY BE IN THE FORMAT OF THE STATES CHOICE."

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1987	03/31/1987
Responses	54	0	0
Time Burden (Hours)	30,240	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: RECIPIENTS OF GRANTS UNDER THE STATE ADMINISTERED DD BASIS STATE GRANT PROGRAM ARE REQUIRED TO COLLECT INFORMATION ON-SERVICES AND SERVICE NEEDS AND INCLUDE INFORMATION IN A 3-YEAR STATE PLAN TO ADDRESS THE SERVICE NEEDS OF THE DEVELOPMENTALLY DISABLED POPULATION IN THE STATE.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
DEPT. OF HEALTH AND HUMAN SERVICES OFFICE OF HUMAN DEVELOPMENT SERVICES, 45 CFR PARTS 1385, 1386, 1387 DEVELOPMENTAL DISABILITIES PROGRAM

---

ICR Summary of Burden

table that charts list of burden

	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	54	0	0	0	54	0
Annual Time Burden (Hours)	30,240	0	0	0	30,240	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/28/1984

---