Information Collection

Supplemental Form To The Financial Status Report (sf-269), Title Iii Of The Older Americans Act, Grants For State And Community Programs On Aging

IC 116388 under ICR 199410-0980-001 · OMB 0980-0205.

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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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-269				No	No

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.