American Schools and Hospitals Abroad (ASHA), Application for Assistance

Forms and Documents

Document Name	Status
Form 1010-2 American Schools and Hospitals Abroad (ASHA), Application for Assistance Form	Modified
OMB - Supporting Statement - 0412-0011 -2009 - ASHA - Application for Assistance.doc Supporting Statement A	2009-05-29

IC Document Collections

IC ID	Document Title	Status
817	American Schools and Hospitals Abroad (ASHA), Application for Assistance Form	Modified

ICR Details

OMB Control No: 0412-0011	ICR Reference No: 200902-0412-002
Status: Historical Active	Previous ICR Reference No: 200604-0412-001
Agency/Subagency: AID	Agency Tracking No:
Title: American Schools and Hospitals Abroad (ASHA), Application for Assistance
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/01/2009
	Date Received in OIRA: 05/14/2009
Terms of Clearance: This collection is approved for two years due to a lack of GPEA (Government Paperwork Elimination Act) compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	36 Months From Approved	06/30/2009
Responses	85	0	85
Time Burden (Hours)	1,020	0	900
Cost Burden (Dollars)	20,400	0	0

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Abstract: Information is required to select grant recipients under USAID's American Schools and Hospitals Abroad (ASHA) program under Section 214 of the Foreign Assistance Act, as amended. ASHA grant recipients must be U.S. based, tax exempt, private citizens organizations, which have founded and/or continualy sponsor institutions abroad. ASHA grants are made to selected U.S. organizations for the exclusive benefit of private, non-profit schools, non-profit schools, libraries and medical centers abroad

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 5812	02/02/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 22727	05/14/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
American Schools and Hospitals Abroad (ASHA), Application for Assistance	1010-2	Application for Assistance

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ICR Summary of Burden

	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	85	85	0	0	0	0
Annual Time Burden (Hours)	1,020	900	0	0	120	0
Annual Cost Burden (Dollars)	20,400	0	0	0	20,400	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden is due to an original miscalculation by the originating office.

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Annual Cost to Federal Government: $200,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/14/2009

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