Approved for use
through 7/2005 under the condition that AoA immediately
incorporates the disclosures statements mandated by the Paperwork
Reduction Act of 1995. For the public record, AoA must submit to
OMB a copy of the revised form.
Inventory as of this Action
Requested
Previously Approved
07/31/2005
07/31/2005
56
0
0
28
0
0
748,000
0
0
This information will be used by the
Administration on Aging to verify the amount of State expenditures
and make comparisons with a State's average annual State
expenditures for three fiscal years preceeding such year to assure
a State is in compiance with CRF 1321.49.
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.