Form 1 Certification of Maintenance
Certification of Maintenance of Effort
Certification of Maintenance Form
Certification of Maintenance of Effort
OMB: 0985-0009
OMB NO. 0985-0009
Expires:xx/xx/20xx
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, were $ .
through September 30,
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/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Windows User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-21 |
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