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: 0985-0004	ICR Reference No: 201408-0985-001
Status: Historical Active	Previous ICR Reference No: 201011-0985-001
Agency/Subagency: HHS/ACL	Agency Tracking No:
Title: Supplemental Form to the Financial Status Report for all AoA Title III Grantees
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/12/2014
	Date Received in OIRA: 09/12/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved
Responses	112	0	0
Time Burden (Hours)	224	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	112	112
Annual Time Burden (Hours)	224	224
Annual Cost Burden (Dollars)	0	0

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: Since the last clearance, the form has been updated to create efficiencies in grantee reporting and review by the ACL. All information collected on the current form was previously collected, the information is arranged differently to assist grantees in completing the form correctly. The financial status report is now semi-annual. This has increased the burden hours.

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