PROJECT SELF SUFFICIENCY DEMONSTRATION FORMS: PARTICIPANT APPLICATION, PARTICIPANT TRACKING FORM, SITE TRACKING FORM

ICR 198412-2528-002

OMB: 2528-0116

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2528-0116 198412-2528-002
Historical Active
HUD/PD&R
PROJECT SELF SUFFICIENCY DEMONSTRATION FORMS: PARTICIPANT APPLICATION, PARTICIPANT TRACKING FORM, SITE TRACKING FORM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/23/1985
Retrieve Notice of Action (NOA) 12/26/1984
  Inventory as of this Action Requested Previously Approved
10/31/1987 10/31/1987
15,078 0 0
15,078 0 0
0 0 0

HOUSEHOLDS WILL BE ENROLLED AND TRACKED BY LOCAL GOVERNMENTS PARTICIPATING IN PROJECT SELF SUFFICIENCY, A DEMONSTRATION DESIGNED TO ENCOURAGE LOCAL GOVERNMENTS TO IDENTIFY AND INTEGRATE LOCAL PUBLIC AND PRIVATE RESOURCES INTO A PROGRAM TO ENABLE VERY LOW-INCOME SINGLE PARENTS TO BECOME ECONOMICALLY SELF SUFFICIENT. INFORMATION COLLECTED WILL INCLUDE THAT WHICH IS NECESSARY TO DETERMINE HOUSEHOLD PROGRAM ELIGIBILITY AND SUPPORT SERVICES NEEDED BY HOUSEHOLDS.

None
None


No

1
IC Title Form No. Form Name
PROJECT SELF SUFFICIENCY DEMONSTRATION FORMS: PARTICIPANT APPLICATION, PARTICIPANT TRACKING FORM, SITE TRACKING FORM HUD-30001, 30002, 30003

  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 15,078 0 0 15,078 0 0
Annual Time Burden (Hours) 15,078 0 0 15,078 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.
12/26/1984


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