APPLICATION FOR AUTHORIZATION TO USE THE 4-H CLUB NAME OR EMBLEM

ICR 199211-0527-001

OMB: 0527-0009

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
0527-0009 199211-0527-001
Historical Active 198910-0527-001
USDA/EXS
APPLICATION FOR AUTHORIZATION TO USE THE 4-H CLUB NAME OR EMBLEM
Extension without change of a currently approved collection   No
Regular
Approved without change 01/27/1993
Retrieve Notice of Action (NOA) 11/18/1992
  Inventory as of this Action Requested Previously Approved
01/31/1996 01/31/1996 12/31/1992
30 0 30
15 0 15
0 0 0

USE OF THE 4-H CLUB NAME AND EMBLEM ARE CONTROLLED BY AN ACT OF CONGRESS. TO CONFORM TO SPECIFIC REQUIREMENTS, ORGANIZATIONS, INDIVIDUALS, COMMERCIAL GROUPS, AND OTHERS MUST SUBMIT IN WRITING A DESCRIPTION OF HOW THEY WISH TO USE THE 4-H NAME AND EMBLEM ON THEIR PRODUCTS, MATERIALS, AND SERVICES.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR AUTHORIZATION TO USE THE 4-H CLUB NAME OR EMBLEM

  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 30 30 0 0 0 0
Annual Time Burden (Hours) 15 15 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
11/18/1992


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