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Federal forms, ICRs, and supporting documents

Information Collection Request

FINANCIAL ELIGIBILITY STATEMENT FOR STUDENT AND SUMMER AID PROGRAMS

ICR 198803-9999-001 · OMB 9999-0015 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
162195 FINANCIAL ELIGIBILITY STATEMENT FOR STUDENT AND SUMMER AID PROGRAMS Form Migrated
ICR Details
9999-0015 198803-9999-001
Historical Active
REGS/RMS
FINANCIAL ELIGIBILITY STATEMENT FOR STUDENT AND SUMMER AID PROGRAMS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/05/1988
Retrieve Notice of Action (NOA) 03/28/1988
THIS STANDARD FORM IS IDENTICAL TO THAT ASSIGNED OMB DOCKET NO. 3206-0149.
  Inventory as of this Action Requested Previously Approved
10/31/1990 10/31/1990
10,000 0 0
2,500 0 0
0 0 0
THE PRIMARY USE FOR THIS FORM IS TO DETERMINE FINANCIAL ELIGIBILITY FOR THE STAY-IN-SCHOOL, SUMMER AID, AND FEDERAL JUNIOR FELLOWSHIP PROGRAMS. IT MAY ALSO BE USED BY AGENCIES TO IDENTIFY THOSE INDIVIDUALS WHO MEET THE FINANCIAL NEEDS EXCEPTION FOR THE SONS AND DAUGHTERS RESTRICTION WHICH APPLIES TO STUDENT EMPLOYMENT
None
None
No
1
IC Title Form No. Form Name
FINANCIAL ELIGIBILITY STATEMENT FOR STUDENT AND SUMMER AID PROGRAMS OPM 1495
  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 10,000 0 0 10,000 0 0
Annual Time Burden (Hours) 2,500 0 0 2,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
03/28/1988