USED TO SELECT GRANTEES TO PERFORM
FEASIBILITY STUDIES FOR THE CONSTRUCTION, OPERATION, PROVISION OF
MAINTENANCE OF SERVICES OR FACILITIES (HOSPITAL, CLINIC, HEALTH
STATION OR QUARTERS ASSOCIATED WITH SUCH FACILITIES) PROVIDED TO
INDIANS FOR ACTIVITIES DESIGNED TO IMPROVE THE CAPACITY OF A TRIBAL
ORGANIZATION TO ENTER INTO A CONTRACT PURSUANT TO SECTION 103 OF
P.L. 93-638.
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.