Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled

ICR 200509-3037-001

OMB: 3037-0003

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
3037-0003 200509-3037-001
Historical Active 200504-3037-001
CPBSD
Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled
Extension without change of a currently approved collection   No
Regular
Approved without change 10/19/2005
Retrieve Notice of Action (NOA) 09/12/2005
  Inventory as of this Action Requested Previously Approved
10/31/2008 10/31/2008 10/31/2005
30 0 30
30 0 30
0 0 0

The initial certification is used to ensure that nonprofit agencies serving people who are severely disabled that would like to participate in the JWOD program meet the program's requirements.

None
None


No

1
IC Title Form No. Form Name
Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled 402

  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 30 0 0 0 0
Annual Time Burden (Hours) 30 30 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.
09/12/2005


© 2024 OMB.report | Privacy Policy