Application for Authorization to Use the 4-H Name and/or Emblem

ICR 200302-0524-001

OMB: 0524-0034

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
0524-0034 200302-0524-001
Historical Active 199906-0524-001
USDA/NIFA
Application for Authorization to Use the 4-H Name and/or Emblem
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/26/2003
Retrieve Notice of Action (NOA) 02/13/2003
  Inventory as of this Action Requested Previously Approved
03/31/2006 03/31/2006
60 0 0
30 0 0
0 0 0

Information will be collected from anyone requesting authorization from the Administrator of the Cooperative State Research, Education, and Extension Service to use the 4-H Name and Emblem is asked to describe the proposed use in a formal application. The collection of this information is used to determine whether the applicant's proposed use will meet the regulatory requirements and whether an authorization for use should be granted.

None
None


No

1
IC Title Form No. Form Name
Application for Authorization to Use the 4-H Name and/or Emblem CSREES-01

  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 60 0 0 60 0 0
Annual Time Burden (Hours) 30 0 0 30 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
02/13/2003


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