HHS ACQUISITION REGULATIONS - HHSAR PART 353 - FORMS

ICR 198407-0990-002

OMB: 0990-0091

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
116587 Migrated
ICR Details
0990-0091 198407-0990-002
Historical Active 198206-0990-001
HHS/HHSDM
HHS ACQUISITION REGULATIONS - HHSAR PART 353 - FORMS
Revision of a currently approved collection   No
Regular
Approved without change 08/09/1984
Retrieve Notice of Action (NOA) 07/19/1984
  Inventory as of this Action Requested Previously Approved
07/31/1987 07/31/1987 07/31/1984
3,000 0 3,000
750 0 750
0 0 0

THE FORM HHS-646 IS USED TO MONITOR COSTS IN HHS CONTRACTS.

None
None


No

1
IC Title Form No. Form Name
HHS ACQUISITION REGULATIONS - HHSAR PART 353 - FORMS HHS 646

  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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 750 750 0 0 0 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.
07/19/1984


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