USED FOR ALL INVENTIONS WHICH WERE
CONCEIVED OR FIRST ACTUALLY REDUCED TO PRACTICE DURING THE COURSE
OF WORK UNDER THE GRANT OR AWARD FROM ORIGINAL EFFECTIVE DATE OF
SUPPORT THROUGH DATE OF COMPLETION OR TERMINATION, WHETHER OR NOT
PREVIOUSLY REPORTED, SHALL BE LISTED ON STATEMENT. EACH STATEMENT
WILL REQUIRE SIGNATURE OF PROJECT DIRECTOR OR PRINCIPAL
INVESTIGATOR & AN OFFICIAL OF INSTITUTION AUTHORIZED TO SIGN ON
BEHALF OF INSTITUTION
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.