ENERGY ASSISTANCE

ICR 198707-0584-001

OMB: 0584-0301

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
103277
Migrated
ICR Details
0584-0301 198707-0584-001
Historical Active 198407-0584-001
USDA/FNS
ENERGY ASSISTANCE
Extension without change of a currently approved collection   No
Regular
Approved without change 08/31/1987
Retrieve Notice of Action (NOA) 07/16/1987
  Inventory as of this Action Requested Previously Approved
08/31/1990 08/31/1990 08/31/1987
18 0 18
72 0 72
0 0 0

UNDER REGULATION, STATE AGENCIES MUST SUBMIT CERTAIN DOCUMENTATION TO FNS IN ORDER TO OBTAIN APPROVAL FOR AN INCOME AND RESOURCE EXCLUSION OF STATE AND LOCA ENERGY ASSISTANCE.

None
None


No

1
IC Title Form No. Form Name
ENERGY ASSISTANCE

  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 18 18 0 0 0 0
Annual Time Burden (Hours) 72 72 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.
07/16/1987


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