FORMS FOR USE BY DISPLACED PERSONS IN APPLYING FOR BENEFITS UNDER PL 91-646 UNIFORM RELOCATION AND REAL PROPERTY ACQUISITION POLICIES ACT

ICR 198407-3090-007

OMB: 3090-0026

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3090-0026 198407-3090-007
Historical Active 198112-3090-004
GSA
FORMS FOR USE BY DISPLACED PERSONS IN APPLYING FOR BENEFITS UNDER PL 91-646 UNIFORM RELOCATION AND REAL PROPERTY ACQUISITION POLICIES ACT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/03/1984
Retrieve Notice of Action (NOA) 07/23/1984
Cleared for an additional six months until HUD and GSA can complete action on uniform procedures and forms. GSA is not required to print the expiration date on the forms.
  Inventory as of this Action Requested Previously Approved
04/30/1985 04/30/1985
150 0 0
450 0 0
0 0 0

THE FORMS ARE USED TO DETERMINE IF INDIVIDUALS ARE ELIGIBLE FOR BENEFITS UNDER THE UNIFORM RELOCATION ASSISTANCE AND REAL PROPERTY ACQUISITION POLICIES ACT OF 1970 AND IF SO, HOW MUCH ASSISTANCE ARE THEY ENTITLED TO RECEIVE.

None
None


No

1
IC Title Form No. Form Name
FORMS FOR USE BY DISPLACED PERSONS IN APPLYING FOR BENEFITS UNDER PL 91-646 UNIFORM RELOCATION AND REAL PROPERTY ACQUISITION POLICIES ACT SF 262-267

  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 150 0 0 0 150 0
Annual Time Burden (Hours) 450 0 0 0 450 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.
07/23/1984


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