REQUEST FOR ADVANCE OR REIMBURSEMENT (H-3)

ICR 198609-1121-003

OMB: 1121-0013

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
120125 Migrated
ICR Details
1121-0013 198609-1121-003
Historical Active 198312-1121-005
DOJ/OJP
REQUEST FOR ADVANCE OR REIMBURSEMENT (H-3)
Extension without change of a currently approved collection   No
Regular
Approved without change 11/07/1986
Retrieve Notice of Action (NOA) 09/11/1986
  Inventory as of this Action Requested Previously Approved
11/30/1989 11/30/1989 10/31/1986
8,400 0 8,400
4,200 0 4,200
0 0 0

OMB CIRCULARS A-102 (ATTACHMENT H), AND A-110 (ATTACHMENT G) REQUIRE GRANTEES TO REQUEST FEDERAL FUNDS USING THIS FORM WHEN THE LETTER OF CREDIT METHOD OF DISBURSEMENT IS NOT USED. THIS FORM IS THE ONE PRESCRIBED FOR THIS USE BY THE CIRCULARS.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR ADVANCE OR REIMBURSEMENT (H-3) OJARS, 7160/3

  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 8,400 8,400 0 0 0 0
Annual Time Burden (Hours) 4,200 4,200 0 0 0 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.
09/11/1986


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