APPLICATION FOR FY 1994 FUNDS FOR FAMILY PRESERVATION AND FAMILY SUPPORT SERVICES, PROGRAM INSTRUCTION

ICR 199401-0980-001

OMB: 0980-0258

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0980-0258 199401-0980-001
Historical Active
HHS/HDSO
APPLICATION FOR FY 1994 FUNDS FOR FAMILY PRESERVATION AND FAMILY SUPPORT SERVICES, PROGRAM INSTRUCTION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/18/1994
Retrieve Notice of Action (NOA) 01/11/1994
  Inventory as of this Action Requested Previously Approved
04/30/1994 04/30/1994
92 0 0
13,248 0 0
0 0 0

STATES AND INDIAN TRIBES MUST SUBMIT AN APPLICATION FOR FY 1994 FUNDS TO DEVELOP, EXPAND, OR OPERATE FAMILY PRESERVATION AND FAMILY SUPPORT SERVICES.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR FY 1994 FUNDS FOR FAMILY PRESERVATION AND FAMILY SUPPORT SERVICES, PROGRAM INSTRUCTION

  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 92 0 0 92 0 0
Annual Time Burden (Hours) 13,248 0 0 13,248 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.
01/11/1994


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