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Federal forms, ICRs, and supporting documents

Information Collection Request

Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severly Disabled, 41 CFR 51-2.10 and 51-4.2

ICR 200504-3037-001 · OMB 3037-0003 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28986 Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severly Disabled, 41 CFR 51-2.10 and 51-4.2 Form Migrated
ICR Details
3037-0003 200504-3037-001
Historical Active 200411-3037-005
CPBSD
Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severly Disabled, 41 CFR 51-2.10 and 51-4.2
Reinstatement without change of a previously approved collection   No
Emergency 05/03/2005
Approved without change 05/02/2005
Retrieve Notice of Action (NOA) 04/29/2005
  Inventory as of this Action Requested Previously Approved
10/31/2005 10/31/2005
30 0 0
30 0 0
0 0 0
The initial certification is used to ensure that nonprofit agencies serving people who are blind that would like to participate in the JWOD Program meet the Program's requirements and to ensure that the Committee has the data necessary to measure progress in meeting the goals laid out in its strategic plan for Fiscal Years 2005-2007.
None
None
No
1
IC Title Form No. Form Name
Initial Certification - Qualified Nonprofit Agency Serving People Who Are Severly Disabled, 41 CFR 51-2.10 and 51-4.2 401
  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 30 0 0 30 0 0
Annual Time Burden (Hours) 30 0 0 30 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.
04/29/2005