FM CS Grant Program and Grant Evaluation Package

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form LM-6 Request for Advance or Reimbursement	Form and Instruction	Unchanged	Available
Form SF424 Application for Federal Assistance	Form and Instruction	Unchanged	Available
Form LM-9 Grantee Evaluation	Form	Unchanged	Available
Form LM-7 Financial Status Report	Form	Unchanged	Available
Form LM-3 Financial Capability Questionnaire	Form and Instruction	Unchanged	Available
Form LM-8 Milestones Project Performance	Form	Unchanged	Available
OMB SUPPORTING STATEMENT May 2014.doc	Supporting Statement A	Uploaded 2014-06-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
32228	FMCS Grant Program and Grant Evaluation Package	Form and Instruction	Unchanged	Request for Advance or Reimbursement
32228	FMCS Grant Program and Grant Evaluation Package	Form and Instruction	Unchanged	Application for Federal Assistance
32228	FMCS Grant Program and Grant Evaluation Package	Form	Unchanged	Grantee Evaluation
32228	FMCS Grant Program and Grant Evaluation Package	Form	Unchanged	Financial Status Report
32228	FMCS Grant Program and Grant Evaluation Package	Form and Instruction	Unchanged	Financial Capability Questionnaire
32228	FMCS Grant Program and Grant Evaluation Package	Form	Unchanged	Milestones Project Performance

ICR Details

OMB Control No: 3076-0006	ICR Reference No: 201406-3076-001
Status: Historical Active	Previous ICR Reference No: 201105-3076-001
Agency/Subagency: FMCS	Agency Tracking No: 3076
Title: FM CS Grant Program and Grant Evaluation Package
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 without change	Conclusion Date: 07/14/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/04/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved	07/31/2014
Responses	220	0	220
Time Burden (Hours)	633	0	633
Cost Burden (Dollars)	0	0	0

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Abstract: Forms are used to administer a congressionally mandated grants programs and to comply with OMB report requirements. FMCS uses the collected information to determine applicant suitability, to monitor grant project status, and for grant program evaluation. Grantees may use the forms as management tools.

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Authorizing Statute(s): PL: Pub.L. 95 - 524 29 U.S.C. 175a Name of Law: Labor-Management Reporting & Disclosure Act of 1959, As Amended
  

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:
	79 FR 10521	02/25/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 29189	05/21/2014
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
FMCS Grant Program and Grant Evaluation Package	LM-6, LM-9, SF424, LM-3, LM-7, LM-8	Milestones Project Performance ,   Financial Capability Questionnaire ,   Financial Status Report ,   Grantee Evaluation ,   Application for Federal Assistance ,   Request for Advance or Reimbursement

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ICR Summary of Burden

table that charts list 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	220	220	0	0	0	0
Annual Time Burden (Hours)	633	633	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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:

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Annual Cost to Federal Government: $2,700

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 06/04/2014

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