This standard
form is approved for use by agencies. Agencies using it must
estimate its burden in the associated information collection
requests they submit to OMB. OMB is in the process of consolidating
this form with related forms. The new application form will be
called the Standard Application for Federal Assistance and the
consolidated reporting form will be called the Standard Financial
Reporting Form.
Inventory as of this Action
Requested
Previously Approved
01/31/2003
01/31/2003
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State and local governments use this
form to assure compliance with statutory requirements for
construction grant programs.
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.