OBJECTIVE EVALUATION REPORT

ICR 199108-0980-002

OMB: 0980-0144

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
116273
Migrated
ICR Details
0980-0144 199108-0980-002
Historical Active 199105-0980-004
HHS/HDSO
OBJECTIVE EVALUATION REPORT
Revision of a currently approved collection   No
Regular
Approved without change 11/20/1991
Retrieve Notice of Action (NOA) 08/22/1991
  Inventory as of this Action Requested Previously Approved
05/31/1992 05/31/1992 10/31/1991
241 0 200
964 0 800
0 0 0

THE "OBJECTIVE EVALUATION REPORT," IS A SELF EVALUATION THROUGH WHICH THE GRANTEE REPORTS ON ACHIEVEMENT OF THE OBJECTIVES FUNDED AND INDICATES RESULTS AND BENEFITS OF THE PROJECT. THIS IS A MAJOR SOURCE OF INFORMATION NEEDED BY ANA TO FULFILL THE REQUIREMENTS OF SECTION 81 OF THE ACT AS AMENDED.

None
None


No

1
IC Title Form No. Form Name
OBJECTIVE EVALUATION REPORT

  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 241 200 0 41 0 0
Annual Time Burden (Hours) 964 800 0 164 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.
08/22/1991


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