45 CFR Part 95, Subpart F--Automatic Data Processing Equipment & Services--Condition for Federal Financial Participation

ICR 200712-0992-001

OMB: 0992-0005

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2007-12-03
IC Document Collections
IC ID
Document
Title
Status
183070
New
183069
New
183068
New
183067
New
10450
Modified
ICR Details
0992-0005 200712-0992-001
Historical Active 200503-0992-001
HHS/OFA
45 CFR Part 95, Subpart F--Automatic Data Processing Equipment & Services--Condition for Federal Financial Participation
Revision of a currently approved collection   No
Regular
Approved without change 02/21/2008
Retrieve Notice of Action (NOA) 12/17/2007
Approval is granted for a three year extension based on the current regulations and submission requirements and based on the understanding that nothing in this ICR is changing except for the burden estimate.
  Inventory as of this Action Requested Previously Approved
02/28/2011 36 Months From Approved 04/30/2008
235 0 260
5,715 0 5,751
0 0 0

These rules establish the reporting requirements by which States request Federal financial participation (FFP) in the cost of acquiring ADP equipment and services (State public assistance agencies administering the TANF, SACWIS, CSE and Medicaid Programs).

US Code: 42 USC 626(b) Name of Law: null
  
None

Not associated with rulemaking

  72 FR 40307 07/24/2007
72 FR 62657 11/06/2007
Yes

5
IC Title Form No. Form Name
RFP and Contract
Advance Planning Document
Biennial Reports
Emergency Funding Requests
Service Agreements

  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 235 260 0 0 -25 0
Annual Time Burden (Hours) 5,715 5,751 0 0 -36 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,116,212
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Robert Sargis 2026907275

  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.
12/17/2007


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