Application for Client Assistance Program

ICR 201512-1820-001

OMB: 1820-0520

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2016-02-16
IC Document Collections
ICR Details
1820-0520 201512-1820-001
Historical Active 201301-1820-001
ED/OSERS ED-2015-0136
Application for Client Assistance Program
Extension without change of a currently approved collection   No
Regular
Approved without change 04/11/2016
Retrieve Notice of Action (NOA) 02/18/2016
  Inventory as of this Action Requested Previously Approved
04/30/2019 36 Months From Approved 04/30/2016
56 0 56
9 0 9
0 0 0

This form is used by states to request funds to establish and carry out Client Assistance Programs (CAP). CAP is mandated by the Rehabilitation Act of 1973, as amended (Rehabilitation Act), to assist consumers and applicants in their relationships with projects, programs and services provided under the Rehabilitation Act including the Vocational Rehabilitation program.

US Code: 1 USC 112 Name of Law: Rehabilitation Act of 1973, as amended
  
None

Not associated with rulemaking

  80 FR 76679 12/10/2015
81 FR 6184 02/18/2016
No

1
IC Title Form No. Form Name
State Assurance Client Assistance Program Grants N/A CAP State Assurances

  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 56 56 0 0 0 0
Annual Time Burden (Hours) 9 9 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$441
No
No
No
No
No
Uncollected
Jim Doyle 2022456630

  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.
02/18/2016


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