REQUISITION FOR PARTIAL PAYMENT OF ANNUAL CONTRIBUTIONS, SUPPORTING DATA FOR ANNUAL CONTRIBUTIONS ESTIMATES, ESTIMATE OF REQUIRED ANNUAL CONTRIBUTIONS, VOUCHER FOR PAYMENT
ICR 199412-2577-001
OMB: 2577-0149
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2577-0149 can be found here:
REQUISITION FOR PARTIAL
PAYMENT OF ANNUAL CONTRIBUTIONS, SUPPORTING DATA FOR ANNUAL
CONTRIBUTIONS ESTIMATES, ESTIMATE OF REQUIRED ANNUAL CONTRIBUTIONS,
VOUCHER FOR PAYMENT
Extension without change of a currently approved collection
PUBLIC HOUSING AGENCIES (PHAS) USE
FORMS TO ESTIMATE ANNUAL CONTRIBUTIONS, REQUISITION FUNDS, AND TO
REPORT ACTUAL RECEIPT AND EXPENDITURES TO ASSURE THAT PROJECT COSTS
DO NOT EXCEED THE AMOUNT AUTHORIZED IN THE ANNUAL CONTRIBUTIONS
CONTRACT (ACC).
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.