Information Collection

Administrative, Program Development Assistance & Training, Disability Funds

IC 29332 under ICR 200807-3045-006 · OMB 3045-0099.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0099 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Administrative, Program Development Assistance & Training, Disability Funds	Form and Instruction
1 Reporting Questions PDAT and Disability Reporting Questions.doc www.nationalservice.gov	Form and Instruction
1 Admin PDAT Disability Application 2009 AdminPDATDisability App Instructions 9.3 Final for Publication.doc www.nationalservice.gov	Form and Instruction
Justification - 2008 AdminPDATDisability.doc Justification Statement	IC Document
Statute for OMB AdminPDATDisability.doc Statutory Authority	IC Document

IC Title:

Administrative, Program Development Assistance & Training, Disability Funds

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Reporting Questions	PDAT and Disability Reporting Questions.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Admin PDAT Disability Application	2009 AdminPDATDisability App Instructions 9.3 Final for Publication.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54	0	54
Annual IC Time Burden (Hours)	1,350	54	1,296
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Statement	Justification - 2008 AdminPDATDisability.doc	03/12/2007
Statutory Authority	Statute for OMB AdminPDATDisability.doc	03/12/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.