"INITIAL CERTIFICATION - QUALIFIED NONPROFIT AGENCY FOR OTHER SEVERELY HANDICAPPED"

ICR 198605-3037-002

OMB: 3037-0003

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3037-0003 198605-3037-002
Historical Active 198504-3037-003
CPBSD
"INITIAL CERTIFICATION - QUALIFIED NONPROFIT AGENCY FOR OTHER SEVERELY HANDICAPPED"
Revision of a currently approved collection   No
Regular
Approved without change 06/19/1986
Retrieve Notice of Action (NOA) 05/08/1986
  Inventory as of this Action Requested Previously Approved
06/30/1989 06/30/1989 09/30/1986
25 0 40
50 0 80
0 0 0

INITIAL CERTIFICATION FORM IS TO DETERMINE THAT THE WORKSHOP IS A QUALIFIED NONPROFIT AGENCY SERVING THE OTHER SEVERELY HANDICAPPED UNDER PUBLIC LAW 92-28.

None
None


No

1
IC Title Form No. Form Name
"INITIAL CERTIFICATION - QUALIFIED NONPROFIT AGENCY FOR OTHER SEVERELY HANDICAPPED" COM 402

  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 25 40 0 0 -15 0
Annual Time Burden (Hours) 50 80 0 0 -30 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.
05/08/1986


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