NOA - OPRE Generic Grant Reviewer Recruitment Forms

NOA - GRR Request Form OPRE_4.4.16.pdf

ACF’s Generic Clearance for Reviewer Recruitment Forms

NOA - OPRE Generic Grant Reviewer Recruitment Forms

OMB: 0970-0477

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NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

04/04/2016

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Beth Killoran

FOR CLEARANCE OFFICER:

Darius Taylor

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
03/31/2016
ACTION REQUESTED:

Generic IC

TYPE OF REVIEW REQUESTED:
ICR REFERENCE NUMBER:

201603-0970-004

AGENCY ICR TRACKING NUMBER:
TITLE:

OPRE

Generic Grant Reviewer Recruitment Form

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0477

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE:

DISCONTINUE DATE:

BURDEN:

RESPONSES

HOURS

COSTS

0

0

0

1,500

1,500

0

0

0

0

1,500

1,500

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Previous
New
Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE:

Terms of the Generic ICR remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Acting Deputy Administrator,
Office Of Information And Regulatory Affairs

IC Title
OCS Grant Reviewer
Recruitment Form
Collect eligibility
infomation from
applicants

Form No.
1

List of ICs
Form Name

CFR Citation

CED Reviewer
Registration Form
1, 1
Fillable Reviewer
Information Form for
Specific Reviewer, Fillable
Reviewer Information
Form for General
Reviewer
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
17 / 0 / 100
16 / 0 / 95

33


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File Modified2016-04-04
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