CERTIFICATION OF MAINTENANCE OF EFFORT

ICR 199011-0980-001

OMB: 0980-0180

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
116344
Migrated
ICR Details
0980-0180 199011-0980-001
Historical Active 198709-0980-003
HHS/HDSO
CERTIFICATION OF MAINTENANCE OF EFFORT
Revision of a currently approved collection   No
Regular
Approved without change 12/31/1990
Retrieve Notice of Action (NOA) 11/07/1990
OMB approves this form for use with the agency's understanding that the burden estimate statement will be added directly onto the one page form as soon as possible and no later than the next submission.
  Inventory as of this Action Requested Previously Approved
11/30/1993 11/30/1993 11/30/1990
57 0 59
29 0 30
0 0 0

THE INFORMATION WILL BE USED BY THE ADMINISTRATION ON AGING TO VERIFY THE AMOUNT OF STATE EXPENDITURES AND MAKE COMPARISONS WITH THE PREVIOUS YEAR'S EXPENDITURES TO ASSURE THAT THE STATES ARE IN COMPLIANCE WITH 45 CFR 1321.53.

None
None


No

1
IC Title Form No. Form Name
CERTIFICATION OF MAINTENANCE OF EFFORT

  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 57 59 0 0 -2 0
Annual Time Burden (Hours) 29 30 0 0 -1 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.
11/07/1990


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