DELEGATE CERTIFICATION FORM AND INSTRUCTIONS

ICR 199006-3312-001

OMB: 3312-0019

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
160562
Migrated
ICR Details
3312-0019 199006-3312-001
Historical Active
OTHTEMPC
DELEGATE CERTIFICATION FORM AND INSTRUCTIONS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/25/1990
Retrieve Notice of Action (NOA) 06/25/1990
The package is approved, assuming that the word "occur" is reinserted into item I.c. of the cover sheet, as verbally agreed to by Frank Stevens of the White House Conference staff on 7/24/90.
  Inventory as of this Action Requested Previously Approved
07/31/1993 07/31/1993
912 0 0
228 0 0
0 0 0

TO ASSIST STATES AND TERRITORIES WITH THEIR DELEGATE SELECTION/ CERTIFICATION PROCESS TO INSURE PROPER PARTICIPATION AT THE 1991 WHITE HOUSE CONFERENCE ON LIBRARY AND INFORMATION SERVICES.

None
None


No

1
IC Title Form No. Form Name
DELEGATE CERTIFICATION FORM AND INSTRUCTIONS

  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 912 0 0 912 0 0
Annual Time Burden (Hours) 228 0 0 228 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.
06/25/1990


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