OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

INITIAL CERTIFICATION, QUALIFIED NONPROFIT AGENCY SERVING PEOPLE WITH SEVERE DISABILITIES

ICR 199504-3037-001 · OMB 3037-0003 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
148808 INITIAL CERTIFICATION, QUALIFIED NONPROFIT AGENCY SERVING PEOPLE WITH SEVERE DISABILITIES Form Migrated
ICR Details
3037-0003 199504-3037-001
Historical Inactive 199203-3037-003
CPBSD
INITIAL CERTIFICATION, QUALIFIED NONPROFIT AGENCY SERVING PEOPLE WITH SEVERE DISABILITIES
Revision of a currently approved collection   No
Expedited
Withdrawn 06/07/1995
Retrieve Notice of Action (NOA) 04/14/1995
Withdrawn to incorporate package into 3037-0004.
  Inventory as of this Action Requested Previously Approved
06/30/1995
0 0 0
0 0 0
0 0 0
THE INITIAL CERTIFICATION FORM IS USED TO INSURE THAT NONPROFIT AGENCIES THAT ARE IN THE PROCESS OF ADDING A PRODUCT OR SERVICE UNDER THE JWOD PROGRAM MEET THE REQUIREMENTS OF THE PROGRAM.
None
None
No
1
IC Title Form No. Form Name
INITIAL CERTIFICATION, QUALIFIED NONPROFIT AGENCY SERVING PEOPLE WITH SEVERE DISABILITIES 402
No
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.
04/14/1995