Section 510 State Abstinence Education Grant Program Guidance and Forms

ICR 200405-0915-002

OMB: 0915-0291

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
0915-0291 200405-0915-002
Historical Active 200411-0970-006
HHS/HSA
Section 510 State Abstinence Education Grant Program Guidance and Forms
Existing collection in use without an OMB Control Number   No
Regular
Approved with change 09/28/2004
Retrieve Notice of Action (NOA) 05/18/2004
Approved consistent with HRSA memo submitted to OMB 09/27/04. HRSA will report to OMB as soon as possible regarding the incorporation of this collection into an online data reporting system. In the event that HRSA is ready to create an online version of the collection prior to expiration of this approval request HRSA should submit an 83-I change form to OMB. Further, HRSA will report burden hours assciated with this collection between 01/01/04 and 05/18/04 as a violation of the Paperwork Reduction Act in the Information Collection Bulletin FY 04. Reporting of aggregate data associated with this collection should include a discussion of the limitations asscoiated with data collection, specifically addressing the fact that states may collect data on various performance measures through diffrent mechanisms.
  Inventory as of this Action Requested Previously Approved
09/30/2007 09/30/2007
51 0 0
8,670 0 0
0 0 0

The project consists of the grant application guidance and forms to be used in making applications for Abstinence Education formula grant funds under Section 510 of Title V of the Social Security Act (Public Law 101-239) and in preparing the required annual report.

None
None


No

1
IC Title Form No. Form Name
Section 510 State Abstinence Education Grant Program Guidance and Forms

  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 51 0 0 51 0 0
Annual Time Burden (Hours) 8,670 0 0 8,670 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.
05/18/2004


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