Approved as
revised and sent to OMB on 1/17/03. This form is approved for
government-wide use. Any grant-making agency that intends to use
the survey form must either 1) submit a change worksheet (83-C) to
revise the OMB approval of their grant application package to
include the survey form and account for the additional burden
imposed by the form; or 2) obtain its own OMB number for the survey
by submitting an agency-specific information collection request
under the PRA.
Inventory as of this Action
Requested
Previously Approved
02/28/2006
02/28/2006
17,000
0
0
1,360
0
0
0
0
0
To ensure equal opportunity for all
applicants including small community-based, faith-based and
religious groups, it is essential to collect information that
allows Federal agencies to determine the level of participation of
such organizations in Federal grant programs while ensuring that
such information is not used in grant-making decisions.
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.