Certification of Maintenance of Effort

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 0985-0009 Certification of Maintenance of Effort Form
0985-0009 Older Americans Act Ombudsman Minimum funding and Non-Su Ombudsman_Cert_rev211.doc Form
0985-0009 Certification of Maintenance Certification of MOE exp011.doc Form
0985-0009 certification of long term care ombudsman expenditures Ombudsman_Cert_rev211.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of Maintenance of Effort	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 1321.49

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0985-0009	Certification of Maintenance	Certification of MOE exp011.doc	Yes	No	Printable Only
Form	0985-0009	certification of long term care ombudsman expenditures	Ombudsman_Cert_rev211.doc	Yes	No	Printable Only
Form	0985-0009	Older Americans Act Ombudsman Minimum funding and Non-Supplantation requirements	Ombudsman_Cert_rev211.doc	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.