FINANCIAL STATUS REPORT (SHORT FORM) -- SF-269A

ICR 199501-0348-002

OMB: 0348-0038

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
98607 Migrated
ICR Details
0348-0038 199501-0348-002
Historical Active 199106-0348-009
OMB
FINANCIAL STATUS REPORT (SHORT FORM) -- SF-269A
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 03/30/1995
Retrieve Notice of Action (NOA) 01/19/1995
  Inventory as of this Action Requested Previously Approved
03/31/1998 03/31/1998
1 0 0
1 0 0
0 0 0

GRANTEES USE THIS FORM TO REPORT THE STATUS OF FUNDS FOR ALL NONCONSTRUCTION PROGRAMS WHERE GRANTEES DO NOT CONTRIBUTE MATCHING FUNDS OR EARN PROGRAM INCOME.

None
None


No

1
IC Title Form No. Form Name
FINANCIAL STATUS REPORT (SHORT FORM) -- SF-269A SF-269A

  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 1 0 0 1 0 0
Annual Time Burden (Hours) 1 0 0 1 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.
01/19/1995


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