HRSA NON-COMPETING TRAINING GRANT APPLICATION

ICR 198903-0915-001

OMB: 0915-0061

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
110205 Migrated
ICR Details
0915-0061 198903-0915-001
Historical Active 198710-0915-001
HHS/HSA
HRSA NON-COMPETING TRAINING GRANT APPLICATION
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 06/20/1989
Retrieve Notice of Action (NOA) 03/20/1989
This information collection request is approved subject to the following: certification requirements on the drug free work place and debarment and suspension will be added to the application and HRSA wil review how many, if any, applications are received from state or local governments and whether those applications are made on HRSA's form or an SF424.
  Inventory as of this Action Requested Previously Approved
06/30/1992 06/30/1992
696 0 0
17,748 0 0
0 0 0

FORM, INSTRUCTIONS AND SUPPLEMENTS ARE NEEDED TO ENABLE AWARDEES TO APPLY FOR NON-COMPETING CONTINUATION GRANTS AND COOPERATIVE AGREEMENTS UNDER HRSA'S TRAINING GRANT PROGRAMS. THE INFORMATION IS USED TO DETERMINE AWARDEE PROGRESS AND DOLLAR AMOUNTS FOR CONTINUATION GRANT AWARDS.

None
None


No

1
IC Title Form No. Form Name
HRSA NON-COMPETING TRAINING GRANT APPLICATION PHS 6025-2

  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 696 0 0 13 683 0
Annual Time Burden (Hours) 17,748 0 0 327 17,421 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.
03/20/1989


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