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Federal forms, ICRs, and supporting documents

Information Collection Request

Qualified Nonprofit Agency Serving People with Severe Disabilities, Annual Certification

ICR 199504-3037-003 · OMB 3037-0002 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
148799 Qualified Nonprofit Agency Serving People with Severe Disabilities, Annual Certification Form Migrated
ICR Details
3037-0002 199504-3037-003
Historical Active 199203-3037-001
CPBSD
Qualified Nonprofit Agency Serving People with Severe Disabilities, Annual Certification
Revision of a currently approved collection   No
Expedited
Approved without change 06/07/1995
Retrieve Notice of Action (NOA) 04/24/1995
  Inventory as of this Action Requested Previously Approved
06/30/1998 06/30/1998 06/30/1995
1 0 0
1,500 0 1,419
0 0 0
The annual certification is used to insure that nonprofit agencies participating in the committee's program are meeting the legal requirements of the JWOD Act. The collected data is also used to measure the effectiveness of the program.
None
None
No
1
IC Title Form No. Form Name
Qualified Nonprofit Agency Serving People with Severe Disabilities, Annual Certification 404
  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 1 0 0 0 1 0
Annual Time Burden (Hours) 1,500 1,419 0 0 81 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
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.
04/24/1995