OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

State Units on Aging Financial Forms

IC 271563 under ICR 202410-0985-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
AoA Form Grants Reallotment Instructions 508.docx Instruction
AoA Form Grants T3 Supplemental Instructions 508.docx Instruction
AoA Transfer Instructions_508.docx Instruction
AoA Form Grants MOE_LTCO_INSTRUCTIONS_508.docx Instruction
AoA Form Grants Reallotment Instructions 508 updated 12.17.2024 ROCIS.docx Instruction
AoA Transfer Instructions_508_updated 12.17.2024 ROCIS.docx Instruction
AoA Form Grants T3 Supplemental Instructions 508.docx Instruction
AoA Form Grants MOE_LTCO_INSTRUCTIONS_508.docx Instruction
Reallotment of Older Americans Act (OAA) Title III and T
AoA Form Grants Reallotment Form_508.docx 		Form
FINANCIAL STATUS REPORT AND TITLE III SUPPLEMENTAL FORM
AoA Form Grant T-3 Supplemental Form_508.docx 		Form
Transfer Cert
AoA Form Grants Transfer Certification.docx 		Form
Cert of Maintenance Effort
AoA Form Grants Certification of Maintenance Effort 508.docx 		Form and Instruction
LTCO Minimum Cert of Expenditures
AoA Form Grants LTCO Minimum Certification of Expenditures_508.docx 		Form
REALLOTMENT CERTIFICATION FOR OLDER AMERICANS ACT TITLE
AoA Form Grants Reallotment Form_508 .docx 		Form
SF-425 ACL/AOA Title III Supplemental Form to SF-425
AoA Form Grant T-3 Supplemental Form_508.docx 		Form
Transfer of Older Americans Act Title III Grant Formula
AoA Form Grants Transfer Certification.docx 		Form
Certification of Maintenance of Effort
AoA Form Grants Certification of Maintenance Effort 508.docx 		Form
Certification of Long-Term Care Ombudsman Program Expend
AoA Form Grants LTCO Minimum Certification of Expenditures_508.docx 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Instruction AoA Form Grants Reallotment Instructions 508 updated 12.17.2024 ROCIS.docx Yes Yes Fillable Fileable
Instruction AoA Transfer Instructions_508_updated 12.17.2024 ROCIS.docx Yes Yes Fillable Fileable
Form NA REALLOTMENT CERTIFICATION FOR OLDER AMERICANS ACT TITLE III AND VII AoA Form Grants Reallotment Form_508 .docx Yes Yes Fillable Fileable
Form SF-425 ACL/AOA Title III Supplemental Form to SF-425 AoA Form Grant T-3 Supplemental Form_508.docx Yes Yes Fillable Fileable
Instruction AoA Form Grants T3 Supplemental Instructions 508.docx Yes Yes Fillable Fileable
Form NA Transfer of Older Americans Act Title III Grant Formula Award Allocations AoA Form Grants Transfer Certification.docx Yes Yes Fillable Fileable
Form NA Certification of Maintenance of Effort AoA Form Grants Certification of Maintenance Effort 508.docx Yes Yes Fillable Fileable
Instruction AoA Form Grants MOE_LTCO_INSTRUCTIONS_508.docx Yes Yes Fillable Fileable
Form NA Certification of Long-Term Care Ombudsman Program Expenditures AoA Form Grants LTCO Minimum Certification of Expenditures_508.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 280 0 280 0 0 0
Annual IC Time Burden (Hours) 280 0 280 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.