THE DATA COLLECTED B THESE FORMS IS
REQUIRED BY LAW AND WILL BE USED TO MONITOR THE PROPER
ADMINISTRATION OF GOOD CAUSE CLIMS AND TO EVALUATE THE REASONS FOR
THE EXISTENCE. THE DATA WILL BE USED BY CONGRESSIONAL COMMITTEES,
DEPARTMENTS AND OFFICES OF HHS AS AN AID TO LEGISLATIVE AND
ADMINISTRA TIVE DECISIONMAKING, AND BY CONTRACTORS EMPLOYED BY THE
DEPARTMENT. I WILL ALSO BE USED TO ANSWER QUESTIONS FROM THE
GENERAL PUBLIC.
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.