Preventive Health and Health Services Block Grant

ICR 199710-0920-002

OMB: 0920-0106

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
6633
Migrated
ICR Details
0920-0106 199710-0920-002
Historical Active 199407-0920-003
HHS/CDC
Preventive Health and Health Services Block Grant
Extension without change of a currently approved collection   No
Regular
Approved without change 11/07/1997
Retrieve Notice of Action (NOA) 10/03/1997
  Inventory as of this Action Requested Previously Approved
11/30/2000 11/30/2000 11/30/1997
122 0 122
5,490 0 7,320
0 0 0

This request is a reinstatement of existing OMB approval for annual grant applications and annual progress reports for the Preventive Health and Health Sevices Block Grant.

None
None


No

1
IC Title Form No. Form Name
Preventive Health and Health Services Block Grant

  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 122 122 0 0 0 0
Annual Time Burden (Hours) 5,490 7,320 0 -1,830 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
10/03/1997


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