PAYMENT REQUEST FORM FOR INDIVIDUALS

ICR 198904-3136-012

OMB: 3136-0053

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
176224
Migrated
ICR Details
3136-0053 198904-3136-012
Historical Active 198810-3136-001
NEH
PAYMENT REQUEST FORM FOR INDIVIDUALS
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/07/1989
Approved with change 04/07/1989
Retrieve Notice of Action (NOA) 04/07/1989
  Inventory as of this Action Requested Previously Approved
11/30/1991 11/30/1991 11/30/1991
65 0 65
65 0 65
0 0 0

INDIVIDUALS WHO RECEIVE NEH GRANTS DIRECTLY WILL USE THIS FORM TO REQUEST GRANT FUNDS. THIS FORMIS SIMILAR TO SF 270 USED BY INSTITUTIONAL GRANTEES TO REQUEST PAYMENT.

None
None


No

1
IC Title Form No. Form Name
PAYMENT REQUEST FORM FOR INDIVIDUALS

  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 65 65 0 0 0 0
Annual Time Burden (Hours) 65 65 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.
04/07/1989


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