THIS FORM PROVIDES ASSISTANCE ON A
TEMPORARY BASIS IN THE FORM OF MORTGAGE OR RENTAL PAYMENTS TO OR ON
BEHALF OF INDIVIDUALS AND FAMILIES WHO, AS A RESULT OF FINANCIAL
HARDSHIP CAUSED BY MAJOR DISASTER, HAVE RECEIVED WRITTEN NOTICE OF
DISPOSSESSION OR EVICTION FROM A RESIDENCE BY REASON OF FORECLOSURE
OF ANY MORTGAGE OR LIEN, CANCELLATION OF ANY CONTRACT OF SALE, OR
TERMINATION OF ANY LEASE, ENTERED INTO PRIOR TO THE
DISASTER
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.