Form approved
for use until January 1982 pending revision or possible elimination
in accordance with OMB Circular A-102.
Inventory as of this Action
Requested
Previously Approved
01/31/1982
01/31/1982
06/30/1981
160
0
150
1,280
0
1,200
0
0
0
FORM REQUIRED BY 24 CFR 805.206 IN
ORDER THAT AN IHA MAY OBTAIN HOUSING ASSISTANCE UNDER US HOUSING
ACT OF 1937, AS AMENDED PL 75-412, 42 USC 1437 ET SEQ). INFORMATION
CONTAINED IN FORM PROVIDES HUD WITH INITIAL STATUTORY AND
PROGRAMATIC REQUIREMENTS.
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.