OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind

ICR 201204-3037-002 · OMB 3037-0001 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 403 Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind Form Modified Repair queued
Committee Regulations on compliance.docx Supporting Statement B Uploaded 2012-07-30 Available
Revised Supporting Statement 403 2012.docx Supporting Statement A Uploaded 2012-09-04 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28977 Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind Form Modified
ICR Details
3037-0001 201204-3037-002
Historical Active 200904-3037-001
CPBSD 200904-3037-403
Annual Certification - Qualified Nonprofit Agency Serving People Who Are Blind
Revision of a currently approved collection   No
Regular
Approved with change 09/05/2012
Retrieve Notice of Action (NOA) 07/30/2012
This collection is cleared based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved 09/30/2012
70 0 70
420 0 420
12,600 0 12,600
The annual certification is used to ensure that nonprofit agencies, participating in the JWOD Program are meeting the Program's requirements.
US Code: 41 USC 47(a)(2) Name of Law: JWOD Act
  
None
Not associated with rulemaking
  77 FR 13563 03/07/2012
77 FR 41376 07/13/2012
No
  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 70 70 0 0 0 0
Annual Time Burden (Hours) 420 420 0 0 0 0
Annual Cost Burden (Dollars) 12,600 12,600 0 0 0 0
No
No
$0
No
No
No
No
No
Uncollected
Louis Bartalot 703-603-2124 [email protected]
  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.
07/30/2012