OMB approves
this form for use with the agency's understanding that the burden
estimate statement will be added directly onto the one page form as
soon as possible and no later than the next submission.
Inventory as of this Action
Requested
Previously Approved
11/30/1993
11/30/1993
11/30/1990
57
0
59
29
0
30
0
0
0
THE INFORMATION WILL BE USED BY THE
ADMINISTRATION ON AGING TO VERIFY THE AMOUNT OF STATE EXPENDITURES
AND MAKE COMPARISONS WITH THE PREVIOUS YEAR'S EXPENDITURES TO
ASSURE THAT THE STATES ARE IN COMPLIANCE WITH 45 CFR
1321.53.
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.