TITLE V OF THE OLDER AMERICANS ACT

ICR 198511-1205-007

OMB: 1205-0242

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
121241 Migrated
ICR Details
1205-0242 198511-1205-007
Historical Active
DOL/ETA
TITLE V OF THE OLDER AMERICANS ACT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/30/1986
Retrieve Notice of Action (NOA) 11/25/1985
  Inventory as of this Action Requested Previously Approved
09/30/1986 09/30/1986
800 0 0
103 0 0
0 0 0

SURVEY FORMS REQUESTING INFORMATION ARE REQUIRED FOR A PROGRAM EVALUATION OF THE SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM (SCSEP). AFFECTED PUBLIC ARE PARTICIPANTS IN SCSEP.

None
None


No

1
IC Title Form No. Form Name
TITLE V OF THE OLDER AMERICANS ACT ETA RC 83

  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 800 0 0 800 0 0
Annual Time Burden (Hours) 103 0 0 103 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.
11/25/1985


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