THE INFORMATION REQUESTED IS NEEDED TO
DETERMINE WHETHER AN APPLICATIO FOR BLOCK GRANT FUNDING CAN BE
APPROVED. WE HAVE LIMITED THE INFORMATION TO THAT WHICH IS
NECESSARY TO PROPERLY ADMINISTER THE PROGRAM AND TO PROVIDE
CONGRESS AND OTHER INTERESTED ENTITIES WITH APPROPRIATE INFORMATION
REGARDING EXPENDITURES UNDER THE BLOCK GRANT.
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.