Application Packets for Real Property for Public Health Purposes

Forms and Documents

Document Name	Status
0937-0191AttachmentL.hmlsapp.pdf Supplementary Document	2011-07-07
0937-0191AttachmentK.hmlsuseapp.pdf Supplementary Document	2011-07-07
0937-0191AttachmentJ.Offsiteapp.pdf Supplementary Document	2011-07-07
0937-0191AttachmentI.PubHlthapp.pdf Supplementary Document	2011-07-07
0937-0191AttachmentH.FedRegNEPA.pdf Supplementary Document	2011-07-07
0937-0191AttachmentG.CEQ.pdf Supplementary Document	2011-07-07
0937-0191AttachmentF.Pt12a.pdf Supplementary Document	2011-07-07
0937-0191AttachmentE.Part12.pdf Supplementary Document	2011-07-07
0937-0191AttachmenD.NEPA.pdf Supplementary Document	2011-07-07
0937-0191AttachmentBMcKinney.pdf Supplementary Document	2011-07-07
0937-0191AttachmentA.Act.pdf Supplementary Document	2011-07-07
0937-0191AttachmentC.CivilAction.pdf Supplementary Document	2011-07-07
0937-0191 OMBQUESTFY11.doc Supporting Statement A	2011-06-09

IC Document Collections

IC ID	Document Title	Status
7743	Application Packets for Real Property for Public Health Purposes	Modified

ICR Details

OMB Control No: 0937-0191	ICR Reference No: 201107-0937-001
Status: Historical Inactive	Previous ICR Reference No: 200802-0937-001
Agency/Subagency: HHS/OASH	Agency Tracking No:
Title: Application Packets for Real Property for Public Health Purposes
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 07/20/2011
	Date Received in OIRA: 07/07/2011
Terms of Clearance: Instruments associated with the ICR must be included in the IC section of the submission (application forms/instructions - Attachments I, J, K, and L - are currently uploaded as supplemental documents).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: State and local governments and nonprofit institutions use these applications to apply for excess/surplus, underutilized/unutilized and off-site government real property. These applications are used to determine if institutions/organizations are eligible to purchase, lease or use prop. under the provisions of surplus property program.

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Authorizing Statute(s): PL: Pub.L. 81 - 152 203 Name of Law: The Federal Property and Administrative
   US Code: 42 USC 4321-4370a Name of Law: The National Evironmental Policy Act
   PL: Pub.L. 100 - 77 501 Name of Law: Stewart B. McKinney-Vento Homeless Assistance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 17128	03/28/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 33761	06/09/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application Packets for Real Property for Public Health Purposes

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: No changes to this collection

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Annual Cost to Federal Government: $36,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/07/2011

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