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Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind
Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind
OMB: 3037-0001
IC ID: 28977
OMB.report
CPBSD
OMB 3037-0001
ICR 200702-3037-001
IC 28977
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3037-0001 can be found here:
2012-07-30 - Revision of a currently approved collection
2009-04-20 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Committee Form 403
Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind
Form
Committee Form 403 Annual Certification - Qualified Nonprofit Agency Servin
Accountability DRAFT 403 Form.doc
www.jwod.gov
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind
Agency IC Tracking Number:
403-02-27-2007
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
41 CFR 51-4.3 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
Committee Form 403
Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind
Accountability DRAFT 403 Form.doc
www.jwod.gov
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
77
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
77
0
0
0
0
77
Annual IC Time Burden (Hours)
1,694
0
1,463
0
0
231
Annual IC Cost Burden (Dollars)
84,700
0
84,700
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.