Annual Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled

ICR 201204-3037-003 · OMB 3037-0002 · Historical Active

Forms and Documents

Document	Type	Status	Availability
Form 404 Annual Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled	Form	Modified	Available
Committee Regulations on compliance.docx	Supporting Statement B	Uploaded 2012-07-30	Repair queued
Supporting Statement 404 2012.docx	Supporting Statement A	Uploaded 2012-07-30	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
28982	Annual Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled	Form	Modified

ICR Details

OMB Control No: 3037-0002	ICR Reference No: 201204-3037-003
Status: Historical Active	Previous ICR Reference No: 200904-3037-002
Agency/Subagency: CPBSD	Agency Tracking No: 200904-3037-404
Title: Annual Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/31/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/30/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	08/31/2012
Responses	550	0	555
Time Burden (Hours)	3,300	0	3,330
Cost Burden (Dollars)	99,000	0	99,900

Abstract: The annual certification is used to ensure that nonprofit agencies participating in the JWOD Program are meeting the Program's requirements.

Authorizing Statute(s): US Code: 41 USC 47(a)(2) Name of Law: JWOD Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 13563	03/07/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 41376	07/13/2012
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Annual Certification - Qualified Nonprofit Agency Serving People Who Are Severely Disabled	404	Annual Certification - Qualified Nonprofit Agencies Serving People Who Are Severely Disabled

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	550	555	-5
Annual Time Burden (Hours)	3,300	3,330	-30
Annual Cost Burden (Dollars)	99,000	99,900	-900

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: About 550 nonprofit agencies serving people who are severely disabled will annually request to be verified for participation in the JWOD Program. It is about 5 agencies lese than last reporting period. That is the reason why time and cost burden decrease.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Edward Yang 703 603-2137 [email protected]

Common Form ICR: No