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Federal forms, ICRs, and supporting documents

Information Collection Request

Annual Certification, Qualified Nonprofit Agency Servicing People Who Are Severely Disabled

ICR 199909-3037-002 · 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
28979 Annual Certification, Qualified Nonprofit Agency Servicing People Who Are Severely Disabled Form Migrated
ICR Details
3037-0002 199909-3037-002
Historical Active 199812-3037-004
CPBSD
Annual Certification, Qualified Nonprofit Agency Servicing People Who Are Severely Disabled
Revision of a currently approved collection   No
Regular
Approved without change 11/22/1999
Retrieve Notice of Action (NOA) 09/23/1999
Approved based on the Committee addenda of November 19 and 22. The Committee shall ensure that the disclosure information includes the following statement: Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. The Committee shall continue to move toward electronic filing including electronic signaturing and report its findings in its next submission of this package for OMB review.
  Inventory as of this Action Requested Previously Approved
11/30/2002 11/30/2002 01/31/2002
552 0 600
1,656 0 1,800
0 0 0
The annual certification is used to insure that nonprofit agencies participating in the JWOD Program are meeting the program's requirements.
None
None
No
1
IC Title Form No. Form Name
Annual Certification, Qualified Nonprofit Agency Servicing People Who Are Severely Disabled 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 552 600 0 -48 0 0
Annual Time Burden (Hours) 1,656 1,800 0 -144 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
09/23/1999