AIDS EDUCATION AND TRAINING CENTERS PROGRAM: NATIONAL PROGRAM AND SERVICE RECORD DATA REPORTING FORM

ICR 199503-0915-002

OMB: 0915-0154

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0915-0154 199503-0915-002
Historical Active 199110-0915-002
HHS/HSA
AIDS EDUCATION AND TRAINING CENTERS PROGRAM: NATIONAL PROGRAM AND SERVICE RECORD DATA REPORTING FORM
Revision of a currently approved collection   No
Regular
Approved without change 03/24/1995
Retrieve Notice of Action (NOA) 03/22/1995
  Inventory as of this Action Requested Previously Approved
05/31/1997 05/31/1997 03/31/1995
68 0 0
2,050 0 816
0 0 0

INFORMATION WILL BE OBTAINED FROM AIDS EDUCATION AND TRAINING CENTERS TO DETERMINE COMPLIANCE WITH TERMS OF COOPERATIVE AGREEMENTS AND SPECIFIC PROJECT REQUIREMENTS. THE NATIONAL PROGRAM AND SERVICE RECORD DATA REPORTING FORM WILL BE USED BY ETC'S TO PROVIDE STANDARDIZED REPORTING OF PROJECT ACTIVITIES FOR PROGRAM MONITORING.

None
None


No

1
IC Title Form No. Form Name
AIDS EDUCATION AND TRAINING CENTERS PROGRAM: NATIONAL PROGRAM AND SERVICE RECORD DATA REPORTING FORM

  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 68 0 0 0 68 0
Annual Time Burden (Hours) 2,050 816 0 0 1,234 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.
03/22/1995


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