Application Packets for Real Property for Public Health Purposes

ICR 202104-0937-004

OMB: 0937-0191

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2021-04-15
Supporting Statement A
2021-04-15
Justification for No Material/Nonsubstantive Change
2019-06-19
Supplementary Document
2019-06-19
IC Document Collections
ICR Details
0937-0191 202104-0937-004
Received in OIRA 201906-0937-003
HHS/OASH 20215
Application Packets for Real Property for Public Health Purposes
Extension without change of a currently approved collection   No
Regular 04/29/2021
  Requested Previously Approved
36 Months From Approved 04/30/2021
15 15
3,000 3,000
1,125 1,125

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.

PL: Pub.L. 114 - 287 11 Name of Law: Federal Asset and Transfer Act of 2016
   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
   PL: Pub.L. 81 - 152 203 Name of Law: The Federal Property and Administrative
  
None

Not associated with rulemaking

  86 FR 8918 02/10/2021
86 FR 22060 04/26/2021
No

1
IC Title Form No. Form Name
Application Packets for Real Property for Public Health Purposes

  Total Request 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 15 15 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 1,125 1,125 0 0 0 0
No
No

$39,750
No
    No
    No
No
No
No
No
Sherette Funn-Coleman

  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.
04/29/2021


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