OMB NO. 0985-0009
Expires: 08-31-2011
Certification of Maintenance of Effort
CERTIFICATION OF STATE RESOURCES EXPENDED, UNDER TITLE III OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED, TO MEET THE REQUIRED LEVEL OF MAINTENANCE OF EFFORT DURING FISCAL YEAR
STATE:
I, the undersigned, certify that the State resources expended to meet the maintenance of effort requirement set forth by Title III of the Older Americans Act, under the approved State plan, for the period of October 1, ______ through September 30, ______ were $______________________.
This amount is (check one):
Less
than the required level of maintenance of effort
Equal
to the required level of maintenance of effort
More than the required level of maintenance of effort
Signature of Authorized State Official
Date
File Type | application/msword |
File Title | OMB NO |
Author | aoa.testuser |
Last Modified By | Greg Case |
File Modified | 2009-05-18 |
File Created | 2009-05-18 |