Information Collection

Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)

IC 241078 under ICR 202109-0970-014 · OMB 0970-0547.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0547 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form A-14 Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)	Form
A-14 Key Personnel Qualification Checklist and Attestation Key Personnel Qualification Checklist and Attestation (Form A-14) - PDF.pdf	Form
A-14 Key Personnel Qualification Checklist and Attestation Key Personnel Qualification Checklist and Attestation (Form A-14) - PDF.pdf	Form

IC Title:

Key Personnel Minimum Qualifications Checklist and Attestation (Form A-14)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	A-14	Key Personnel Qualification Checklist and Attestation	Key Personnel Qualification Checklist and Attestation (Form A-14) - PDF.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 235

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,115	-3,865	5,980
Annual IC Time Burden (Hours)	353	-1,640	1,993
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.