BLS/OSHS FEDERAL/STATE STATISTICAL GRANT (APPLICATION FORM)

ICR 198610-1220-004

OMB: 1220-0067

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
1220-0067 198610-1220-004
Historical Active 198311-1220-002
DOL/BLS
BLS/OSHS FEDERAL/STATE STATISTICAL GRANT (APPLICATION FORM)
Revision of a currently approved collection   No
Regular
Approved without change 12/04/1986
Retrieve Notice of Action (NOA) 10/06/1986
  Inventory as of this Action Requested Previously Approved
10/31/1988 10/31/1988 10/31/1986
48 0 48
384 0 384
0 0 0

COST INFORMATION AND PROGRAM OBJECTIVES ARE NEEDED TO EVALUATE BENEFITS TO THE GOVERNME AND THE EXTENT OF COST EFFECTIVENESS. DATA WILL BECOME PART OF A MANAGEMENT INFORMATION SYSTEM TO GENERATE SUMMARIES FOR AUTHORIZED USERS. THE RESPONDENTS ARE STATE AGENCIES DESIGNATED BY GOVERNORS AS PARTICIPANTS.

None
None


No

1
IC Title Form No. Form Name
BLS/OSHS FEDERAL/STATE STATISTICAL GRANT (APPLICATION FORM) BLS 424A, 424B, 424C & 424D

  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 48 48 0 0 0 0
Annual Time Burden (Hours) 384 384 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.
10/06/1986


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