FINANCIAL REPORTING FORM SF 269-T (PROTECTION AND ADVOCACY PROGRAM)

ICR 198209-0980-001

OMB: 0980-0054

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0980-0054 198209-0980-001
Historical Active 198009-0980-002
HHS/HDSO
FINANCIAL REPORTING FORM SF 269-T (PROTECTION AND ADVOCACY PROGRAM)
Revision of a currently approved collection   No
Regular
Approved without change 10/22/1982
Retrieve Notice of Action (NOA) 09/01/1982
  Inventory as of this Action Requested Previously Approved
10/31/1985 10/31/1985 10/31/1982
224 0 224
448 0 286
0 0 0

FINANCIAL STATUS REPORT FORM FOR THE PROTECTION AND ADVOCACY PROGRAM TO PROVIDE FISCAL CONTROL AND FUND ACCOUNTING PROCEDURES AS MAY BE NECESSARY TO ASSURE THE PROPER DISBURSEMENT OF AND ACCOUNTING OF FUNDS PAID TO THE STATE.

None
None


No

1
IC Title Form No. Form Name
FINANCIAL REPORTING FORM SF 269-T (PROTECTION AND ADVOCACY PROGRAM) SF 269-T

  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 224 224 0 0 0 0
Annual Time Burden (Hours) 448 286 0 0 162 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.
09/01/1982


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