GRANT APPLICATIONS FOR DEMONSTRATION PROJECTS ON ADOLESCENT PREGNANCY AND FAMILY LIFE

ICR 198309-0937-004

OMB: 0937-0116

Federal Form Document

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ICR Details
0937-0116 198309-0937-004
Historical Active 198304-0937-004
HHS/OASH
GRANT APPLICATIONS FOR DEMONSTRATION PROJECTS ON ADOLESCENT PREGNANCY AND FAMILY LIFE
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/08/1983
Approved with change 09/08/1983
Retrieve Notice of Action (NOA) 09/08/1983
  Inventory as of this Action Requested Previously Approved
01/31/1985 01/31/1985 01/31/1985
52 0 400
2,080 0 16,000
0 0 0

THIS APPLICATION PACKAGE SPECIFIES THE INFORMATION TO BE SUPPLIED BY APPLICANTS FOR DEMONSTRATION PROJECT GRANTS UNDER TITLE XX OF THE PUBLIC HEALTH SERVICE ACT. THE INFORMATION IS REQUIRED IN ORDER TO MAKE DECISIONS ON ELIGIBILITY AND FUNDING UNDER THIS PROGRAM.

None
None


No

1
IC Title Form No. Form Name
GRANT APPLICATIONS FOR DEMONSTRATION PROJECTS ON ADOLESCENT PREGNANCY AND FAMILY LIFE PHS 5161-1

  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 52 400 0 0 -348 0
Annual Time Burden (Hours) 2,080 16,000 0 0 -13,920 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.
09/08/1983


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