This request is
subject to same requirements as Form ATF F 5030.6, OMB No.
1512-0038.
Inventory as of this Action
Requested
Previously Approved
01/31/1983
01/31/1983
12/31/1981
10,000
0
5,000
2,500
0
2,500
0
0
0
WHEN APPLICATIONS FOR BENEFITS ARE
FILED WITH ATF, SUCH AS CLAIMS OR APPLICATIONS, IT IS LEGALLY
NECESSARY FOR THE PERSON SIGNING THE APPLICATION OR CLAIM TO HAVE
AUTHORITY TO ACT ON BEHALF OF THE PRINCIPAL. BY EXECUTION OF THIS
FORM, SUCH AUTHORITY IS GIVEN TO THAT PERSON TO ACT ON BEHALF OF
SUCH PRINCIPAL.
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.