View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3037-0002	ICR Reference No: 200301-3037-001
Status: Historical Active	Previous ICR Reference No: 199909-3037-002
Agency/Subagency: CPBSD	Agency Tracking No:
Title: Annual Certification - Qualified Nonprofit Agency Serving People who are Severly Disabled.
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/20/2003
	Date Received in OIRA: 01/10/2003
Terms of Clearance: Approved with changes. The Committee has revised the instructions to include the burden statement, OMB number, and expiration date. In addition, the form has been corrected for clerical errors.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2006	03/31/2006	03/31/2003
Responses	565	0	552
Time Burden (Hours)	1,695	0	1,656
Cost Burden (Dollars)	0	0	0

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