WRITTEN REQUEST FOR ASSISTANCE OR APPLICATION FOR CLIENT ASSISTANCE PROGRAM

ICR 199103-1820-003

OMB: 1820-0520

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
1820-0520 199103-1820-003
Historical Active 199010-1820-002
ED/OSERS
WRITTEN REQUEST FOR ASSISTANCE OR APPLICATION FOR CLIENT ASSISTANCE PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 05/15/1991
Retrieve Notice of Action (NOA) 03/29/1991
  Inventory as of this Action Requested Previously Approved
05/31/1994 05/31/1994 09/30/1991
57 0 5
9 0 1
0 0 0

THIS DOCUMENT IS USED BY STATES TO REQUEST FUNDS TO ESTABLISH AND CARR OUT CLIENT ASSISTANCE PROGRAMS (CAP) WHICH ASSIST CLIENT AND CLIENT APPLICANTS IN THEIR RELATIONSHIPS WITH PROJECTS, PROGRAMS, AND FACILITIES AUTHORIZED BY THE REHABILITATION ACT, AS AMENDED.

None
None


No

1
IC Title Form No. Form Name
WRITTEN REQUEST FOR ASSISTANCE OR APPLICATION FOR CLIENT ASSISTANCE PROGRAM B20-1P

  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 57 5 0 52 0 0
Annual Time Burden (Hours) 9 1 0 8 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.
03/29/1991


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