Objective Evaluation Report (OER)

ICR 199606-0980-001

OMB: 0980-0144

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
10181
Migrated
ICR Details
0980-0144 199606-0980-001
Historical Active 199305-0980-002
HHS/HDSO
Objective Evaluation Report (OER)
Extension without change of a currently approved collection   No
Regular
Approved without change 08/19/1996
Retrieve Notice of Action (NOA) 06/20/1996
This paperwork submission is approved as amended by ANA's memorandum of 2 August 1996 and by the revised pages attached.
  Inventory as of this Action Requested Previously Approved
08/31/1999 08/31/1999 08/31/1996
250 0 245
500 0 490
0 0 0

The project self-evaluation information collected by the OER about a grantee's project is needed to meet ANA's legislatively required evaluation of grantee locally-determined financial assistance grant objectives. The information, when aggregated, is used to evaluate and monitor the grant project.

None
None


No

1
IC Title Form No. Form Name
Objective Evaluation Report (OER)

  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 250 245 0 0 5 0
Annual Time Burden (Hours) 500 490 0 0 10 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.
06/20/1996


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