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Federal forms, ICRs, and supporting documents

Information Collection Request

BLS/OSHS FEDERAL/STATE COOPERATIVE AGREEMENT (APPLICATION PACKAGE) AND BLS/OSHS QUARTERLY FINANCIAL REPORTING FORM

ICR 199209-1220-004 · OMB 1220-0149 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
123879 BLS/OSHS FEDERAL/STATE COOPERATIVE AGREEMENT (APPLICATION PACKAGE) AND BLS/OSHS QUARTERLY FINANCIAL REPORTING FORM Form Migrated
ICR Details
1220-0149 199209-1220-004
Historical Active
DOL/BLS
BLS/OSHS FEDERAL/STATE COOPERATIVE AGREEMENT (APPLICATION PACKAGE) AND BLS/OSHS QUARTERLY FINANCIAL REPORTING FORM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/18/1992
Retrieve Notice of Action (NOA) 09/10/1992
  Inventory as of this Action Requested Previously Approved
12/31/1995 12/31/1995
285 0 0
342 0 0
0 0 0
COST INFORMATION BY OBJECT CLASS AND A DESCRIPTION OF ACTIVITIES ARE NEEDED TO EVALUATE COST EFFECTIVENESS AND TO ENSURE THAT PROGRAM OBJECTIVES ARE BEING MET. DATA WILL BECOME PART OF A "MANAGEMENT INFORMATION SYSTEM" TO GENERATE SUMMARIES FOR AUTHORIZED USERS. THE RESPONDENTS ARE STATE AGENCIES OR POLITICAL SUBDIVISIONS THEREOF.
None
None
No
1
IC Title Form No. Form Name
BLS/OSHS FEDERAL/STATE COOPERATIVE AGREEMENT (APPLICATION PACKAGE) AND BLS/OSHS QUARTERLY FINANCIAL REPORTING FORM BLS-OSHS 1, BLS-OSHS 2
  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 285 0 0 285 0 0
Annual Time Burden (Hours) 342 0 0 342 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.
09/10/1992