The new OMB
Approval number 3001-0100 must be printed on these forms. The
reference to "OMB Approval No. 29-R021" must be deleted.
Inventory as of this Action
Requested
Previously Approved
11/30/1986
11/30/1986
250
0
0
8,500
0
0
0
0
0
NEED IS TO FULFILL REQUIREMENTS OF
PART IV OF APPLICATION FOR FEDERAL ASSISTANCE. USED TO MAKE
DECISIONS REGARDING INITIAL AND RENEWAL FUNDING. RESPONDENTS ARE
PUBLIC AGENCIES AND PRIVATE NON-PROF INCLUDING SMALL BUSINESSES AND
ORGANIZATIONS.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.