APPLICATION PACKETS FOR REAL PROPERTY FOR PUBLIC HEALTH PURPOSES

ICR 199409-0937-001

OMB: 0937-0191

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
0937-0191 199409-0937-001
Historical Active 199101-0937-001
HHS/OASH
APPLICATION PACKETS FOR REAL PROPERTY FOR PUBLIC HEALTH PURPOSES
Revision of a currently approved collection   No
Regular
Approved without change 12/05/1994
Retrieve Notice of Action (NOA) 09/30/1994
  Inventory as of this Action Requested Previously Approved
12/31/1997 12/31/1997 09/30/1994
114 0 67
22,800 0 13,400
0 0 0

STATE AND LOCAL GOVERNMENTS AND NONPROFIT ORGANIZATIONS USE THESE APPLICATIONS TO APPLY FOR EXCESS/SURPLUS, UNDERUTILIZED/UNUTILIZED, AN OFF-SITE GOVERNMENT REAL PROPERTY. THESE APPLICATIONS ARE USED TO DETERMINE IF INSTITUTIONS/ORGANIZATIONS ARE ELIGIBLE TO PURCHASE, LEASE, OR USE PROPERTY UNDER THE PROVISIONS OF THE SURPLUS PROPERTY PROGRAM.

None
None


No

1
IC Title Form No. Form Name
APPLICATION PACKETS FOR REAL PROPERTY FOR PUBLIC HEALTH PURPOSES

  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 114 67 0 0 47 0
Annual Time Burden (Hours) 22,800 13,400 0 0 9,400 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.
09/30/1994


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