Homeless, Veterans, Women, Healthcare

ICR 200504-0990-002

OMB: 0990-0286

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
10419
Migrated
ICR Details
0990-0286 200504-0990-002
Historical Active
HHS/HHSDM
Homeless, Veterans, Women, Healthcare
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/26/2005
Retrieve Notice of Action (NOA) 04/29/2005
Approved consistent with HHS memo submitted to OMB 08/26/05, clarifying that the survey is not intended to provide generalizable or representative data on the respondent population. As soon as possible but no later than September 2, 2005 HHS shall provide revised forms reflecting the OMB government wide standard format for the collection of race and ethnicity data.
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008
30 0 0
30 0 0
0 0 0

Our objective is to assess and identify the issues and problems of homelessness among women veterans, and to develop programs to better meet their gender specific needs.

None
None


No

1
IC Title Form No. Form Name
Homeless, Veterans, Women, Healthcare

  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 30 0 0 30 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
Yes Part B of Supporting Statement
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.
04/29/2005


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