Child Care Subsidy Application - Main Provider

ICR 200008-3090-001

OMB: 3090-0275

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
32463 Migrated
ICR Details
3090-0275 200008-3090-001
Historical Active 200004-3090-001
GSA
Child Care Subsidy Application - Main Provider
Extension without change of a currently approved collection   No
Regular
Approved without change 10/20/2000
Retrieve Notice of Action (NOA) 08/30/2000
  Inventory as of this Action Requested Previously Approved
10/31/2003 10/31/2003 10/31/2000
50 0 500
1,250 0 1,250
0 0 0

Form 3674A is used to gather information from the child care providers of GSA employees applyng for a GSA chld care subsidy.

None
None


No

1
IC Title Form No. Form Name
Child Care Subsidy Application - Main Provider GSA-3674A

  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 50 500 0 -450 0 0
Annual Time Burden (Hours) 1,250 1,250 0 0 0 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.
08/30/2000


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