THIS FORM HAS
BEEN APPROVED FOR ONE YEAR ON THE CONDITION THAT A REQUEST FOR
EXTENSION WILL ADDRESS: THE ACTUAL USE OF INFORMATION REQUESTED,
THE CONSEQUENCES OF NOT SUPPLYING THE INFORMATION, AND THE
POTENTIAL AREAS OR SINGLE ITEMS WHICH ARE BEING CONSIDERED FOR
REDUCTION.
Inventory as of this Action
Requested
Previously Approved
09/30/1982
09/30/1982
12/31/1981
250
0
500
500
0
500
0
0
0
CONTAINS DATA NEEDED TO EVALUATE
SUBJECT APPLICATION.
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.