QUARTERLY APPLICATION FOR GRANT AWARD

ICR 198506-0960-004

OMB: 0960-0239

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
166725 Migrated
ICR Details
0960-0239 198506-0960-004
Historical Active 198504-0960-011
SSA
QUARTERLY APPLICATION FOR GRANT AWARD
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/20/1985
Approved with change 06/20/1985
Retrieve Notice of Action (NOA) 06/20/1985
  Inventory as of this Action Requested Previously Approved
06/30/1985 06/30/1985 06/30/1985
216 0 216
108 0 108
0 0 0

STATE AGENCIES SUBMIT THIS REPORT QUARTERLY TO REQUEST FEDERAL FUNDS F THE UPCOMING FISCAL QUARTER. THIS FORM IS NEEDED TO CERTIFY THAT THE STATES SHARE OF FUNDING IS AVAILABLE. THIS INFORMATION IS USED TO COMPUTE THE QUARTERLY GRANTS TO BE AWARDED EACH STATE.

None
None


No

1
IC Title Form No. Form Name
QUARTERLY APPLICATION FOR GRANT AWARD OCSE-65

  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 216 216 0 0 0 0
Annual Time Burden (Hours) 108 108 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.
06/20/1985


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