SF-269 Financial Status Report (Long Form)

ICR 200501-0348-004

OMB: 0348-0039

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
755 Migrated
ICR Details
0348-0039 200501-0348-004
Historical Active 200307-0348-002
OMB
SF-269 Financial Status Report (Long Form)
Extension without change of a currently approved collection   No
Regular
Approved without change 04/20/2005
Retrieve Notice of Action (NOA) 01/28/2005
  Inventory as of this Action Requested Previously Approved
04/30/2008 04/30/2008 04/30/2005
1 0 1
1 0 1
0 0 0

Grantees use this form to report the status of funds for all non-construction grant programs where grantees contributed matching funds or earn program income.

None
None


No

1
IC Title Form No. Form Name
SF-269 Financial Status Report (Long Form) SF-269

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 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.
01/28/2005


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