Department of Health and
Human Services
Administration on Aging
The Aging Network
Program Instructions |
|
OMB No 0980-0009
EXPIRES 7/31/2005
Certification of Maintenance of Effort
CERTIFICATION OF STATE RESOURCES EXPENDED, UNDER TITLE III OF THE OLDER
AMERICANS ACT OF 1965, AS AMENDED, TO MEET THE REQUIRED LEVEL OF MAINTENANCE
OF EFFORT DURING
FISCAL YEAR________
STATE:_____________________
I, the undersigned, certify that the State resources expended to meet the maintenance of effort required by Title III of the Older Americans Act, under the approved State plan, for the period of October 1, 199~ through September 30, 1999 were $_________.
This amount is (check one):
[ ] Less than the required level of maintenance of effort
[ ] Equal to the required level of maintenance of effort
[ ] More than the required level of maintenance of effort
____________________________
Signature of Authorized State Official
______________
Date