REGULATION - 45 CFR 96 - PREVENTION HEALTH AND HEALTH SERVICES BLOCK GRANT

ICR 198808-0920-004

OMB: 0920-0106

Federal Form Document

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Name
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IC Document Collections
ICR Details
0920-0106 198808-0920-004
Historical Active 198507-0920-002
HHS/CDC
REGULATION - 45 CFR 96 - PREVENTION HEALTH AND HEALTH SERVICES BLOCK GRANT
Revision of a currently approved collection   No
Regular
Approved without change 10/21/1988
Retrieve Notice of Action (NOA) 08/30/1988
  Inventory as of this Action Requested Previously Approved
09/30/1991 09/30/1991 09/30/1988
122 0 114
7,320 0 6,840
0 0 0

THE PURPOSE OF THIS DA COLLECTION IS TO COLLECT ANNUAL APPLICATIONS AND REPORTS ON USE OF FUN FROM 61 STATE GRANTEES FOR THE PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANTS.

None
None


No

1
IC Title Form No. Form Name
REGULATION - 45 CFR 96 - PREVENTION HEALTH AND HEALTH SERVICES BLOCK GRANT

  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 122 114 0 8 0 0
Annual Time Burden (Hours) 7,320 6,840 0 480 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.
08/30/1988


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