Financial Summary of Obligation and Expenditure of Block Grant Funds (45 CFR 96.30)

ICR 200211-0990-004

OMB: 0990-0236

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
0990-0236 200211-0990-004
Historical Active 200003-0990-001
HHS/HHSDM
Financial Summary of Obligation and Expenditure of Block Grant Funds (45 CFR 96.30)
Extension without change of a currently approved collection   No
Regular
Approved without change 02/11/2003
Retrieve Notice of Action (NOA) 11/27/2002
Approved for use through 2/2004 under the condition that HHS resubmits this package with the revised SF 269/269A when available.
  Inventory as of this Action Requested Previously Approved
02/29/2004 02/29/2004 02/28/2003
620 0 620
620 0 620
0 0 0

This collection is needed to allow HHS to verify the financial status of block grant funds and determine aggregate obligations, expenditures and available balances in order to close the grant account in accordance with P.L. 101-51.

None
None


No

1
IC Title Form No. Form Name
Financial Summary of Obligation and Expenditure of Block Grant Funds (45 CFR 96.30) SF-269A

  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 620 620 0 0 0 0
Annual Time Burden (Hours) 620 620 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.
11/27/2002


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