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Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled
Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled
OMB: 3037-0003
IC ID: 28987
OMB.report
CPBSD
OMB 3037-0003
ICR 200702-3037-003
IC 28987
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled
Agency IC Tracking Number:
402-02-27-2007
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
41 CFR 51-4.2(d) (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
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:
30
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
30
0
0
0
0
30
Annual IC Time Burden (Hours)
600
0
570
0
0
30
Annual IC Cost Burden (Dollars)
30,000
0
30,000
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.