THIS REQUEST FOR
CLEARANCE IS NOT APPROVED BECAUSE IT DOES NOT REFLECT RECENT
STATUTORY CHANGES IN THE PROGRAM. THE EARLIER CLEARANCE PERIOD IS
EXTENDED THRU MARCH 1986. FUTURE REQUESTS FOR CLEARANCE SHOULD
INCLUDE A DATA ELEMENT DESIGNED TO DEMONSTRATE ACTUAL END OF YEAR
ENROLLMENT FOR THE PRECEEDING YEAR IN ADDITION TO REVISIONS
REFLECTING RECENT STATUTORY CHANGES.
Inventory as of this Action
Requested
Previously Approved
03/31/1986
03/31/1986
12/31/1985
23
0
23
138
0
138
0
0
0
GRANTS. HEALTH. FORM AND INSTRUCTIONS
ARE NEEDED TO ENABLE ELIGIBLE SCHOOLS OF PUBLIC HEALTH TO APPLY FOR
HEALTH PROFESSIONS CAPITATION GRANTS.
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.