APPLICATION PACKETS FOR REAL PROPERTY FOR PUBLIC HEALTH PURPOSES

ICR 199001-0937-001

OMB: 0937-0191

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0937-0191 199001-0937-001
Historical Active
HHS/OASH
APPLICATION PACKETS FOR REAL PROPERTY FOR PUBLIC HEALTH PURPOSES
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/02/1990
Retrieve Notice of Action (NOA) 01/04/1990
See Remarks on Attached Sheet
  Inventory as of this Action Requested Previously Approved
12/31/1990 12/31/1990
106 0 0
21,200 0 0
0 0 0

STATE AND LOCAL GOVERNMENTS AND NON-PROFIT ORGANIZATIONS USE THESE APPLICATIONS TO APPLY FOR SURPLUS GOVERNMENT REAL PROPERTY. THESE APPLICATIONS ARE USED TO DETERMINE IF INSTITUTIONS/ORGANIZATIONS ARE ELIGIBLE TO PURCHASE, LEASE, OR USE PROPERTY UNDER THE PROVISIONS OF T SURPLUS PROPERTY PROGRAM.

None
None


No

1
IC Title Form No. Form Name
APPLICATION PACKETS FOR REAL PROPERTY FOR PUBLIC HEALTH PURPOSES

  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 106 0 0 106 0 0
Annual Time Burden (Hours) 21,200 0 0 21,200 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.
01/04/1990


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