FINANCIAL STATUS REPORT (H-1)

ICR 198905-1121-006

OMB: 1121-0105

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
168097 Migrated
ICR Details
1121-0105 198905-1121-006
Historical Active 198609-1121-002
DOJ/OJP
FINANCIAL STATUS REPORT (H-1)
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/02/1989
Approved with change 05/02/1989
Retrieve Notice of Action (NOA) 05/02/1989
  Inventory as of this Action Requested Previously Approved
11/30/1989 11/30/1989 11/30/1989
4,200 0 4,200
6,300 0 6,300
0 0 0

OMB CIRCULARS A-102 (ATTACHMENT H), AND A-110 (ATTACHMENT G) REQUIRES GRAN RECIPIENTS TO SUBMIT FINANCIAL STATUS REPORTS TO THE GRANTOR AGENCY. THIS FORM IS USED TO SATISFY THIS REQUIREMENT. THE INFORMATION PROVIDED ALLOWS THAT AGENCY TO MONITOR THE GRANTEE CASH FLOW AND THE EXPENDITURE OF FEDERAL FUNDS.

None
None


No

1
IC Title Form No. Form Name
FINANCIAL STATUS REPORT (H-1) OJARS, 7160/1

  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 4,200 4,200 0 0 0 0
Annual Time Burden (Hours) 6,300 6,300 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.
05/02/1989


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