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Supplemental Form To The Financial Status Report (sf-269), Title Iii Of The Older Americans Act, Grants For State And Community Programs On Aging
SUPPLEMENTAL FORM TO THE FINANCIAL STATUS REPORT (SF-269), TITLE III OF THE OLDER AMERICANS ACT, GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING
OMB: 0980-0205
IC ID: 116387
OMB.report
HHS/HDSO
OMB 0980-0205
ICR 199106-0980-002
IC 116387
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0980-0205 can be found here:
1994-10-28 - Reinstatement with change of a previously approved collection
Documents and Forms
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Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SUPPLEMENTAL FORM TO THE FINANCIAL STATUS REPORT (SF-269), TITLE III OF THE OLDER AMERICANS ACT, GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
57
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
228
0
0
-8
0
236
Annual IC Time Burden (Hours)
114
0
0
-4
0
118
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.