Supplemental Form to the Financial Status Report (SF-269), and Community Programs on Aging

ICR 199909-0985-002

OMB: 0985-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0985-0004 199909-0985-002
Historical Active 199803-0985-001
HHS/ACL
Supplemental Form to the Financial Status Report (SF-269), and Community Programs on Aging
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/1999
Retrieve Notice of Action (NOA) 09/30/1999
  Inventory as of this Action Requested Previously Approved
08/31/2001 08/31/2001 05/31/2001
114 0 114
57 0 57
2,000 0 1,497,000

In order for the Administration on Aging to effectively monitor these program funds and to determine that these funds are used for the purpose for which allotments are made, specific financial data relating to program activities must be collected from the States.

None
None


No

1
IC Title Form No. Form Name
Supplemental Form to the Financial Status Report (SF-269), and Community Programs on Aging

  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 114 114 0 0 0 0
Annual Time Burden (Hours) 57 57 0 0 0 0
Annual Cost Burden (Dollars) 2,000 1,497,000 0 -1,495,000 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.
09/30/1999


© 2024 OMB.report | Privacy Policy