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Annual Certification, Qualified Nonprofit Agency Servicing People Who Are Severely Disabled
Annual Certification, Qualified Nonprofit Agency Servicing People Who Are Severely Disabled
OMB: 3037-0002
IC ID: 28979
OMB.report
CPBSD
OMB 3037-0002
ICR 199909-3037-002
IC 28979
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3037-0002 can be found here:
2012-07-30 - Revision of a currently approved collection
2009-04-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Certification, Qualified Nonprofit Agency Servicing People Who Are Severely Disabled
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
404
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
552
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
552
0
-48
0
0
600
Annual IC Time Burden (Hours)
1,656
0
-144
0
0
1,800
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.