Approved
consistent with changes contained within HHSs faxed memo on
9/29/00.
Inventory as of this Action
Requested
Previously Approved
10/31/2003
10/31/2003
3,000
0
0
48,000
0
0
0
0
0
Recipients of HHS Funds Must Review
Their Policies/Practices and Submit Documents To Demonstrate
Compliance with the Civil Rights Requirements of Title VI of the
Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of
1973 and the Age Discrimination Act of 1975.
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.