Information Collection Request

49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanized Area Formula Program

ICR 201608-2132-002 · OMB 2132-0500 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SF 424 (OMB Number 49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize Form and Instruction Modified Available
5310 & 5311 Sample Completed Application.pdf Supplementary Document Uploaded 2016-08-16 Available
2016 30Day FRN 5310 and 5311.docx Supplementary Document Uploaded 2016-08-16 Available
2016 60-Day Federal Register Notice Section 5310 & 5311.pdf Supplementary Document Uploaded 2016-08-16 Available
2016 Final Justification Statement Section 5310 and 5311.doc Supporting Statement A Uploaded 2016-08-16 Available
5310 & 5311 Sample Federal Financial Report FFR.pdf Supplementary Document Uploaded 2016-08-16 Available
5310 & 5311 Sample Milestone Report MPR.pdf Supplementary Document Uploaded 2016-08-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
26517 49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2019 36 Months From Approved 11/30/2016
423 0 178
45,087 0 20,882
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
49 USC Section 5310-Capital Assistance Program for Elderly Persons and Persons w/Disabilities & Section 5311-Nonurbanize SF 424 (OMB Number: 4040-0002) Application for Federal Assistance

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 423 178 0 245 0 0
Annual Time Burden (Hours) 45,087 20,882 0 24,205 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No