This form requests information on the
age, marital status, employment, education and income of applicant
for training or job placement services. This information is used to
determine applicant's eligibility and amount of financial
assistance needed.
US Code:
25 USC
13 Name of Law: null
Statute at Large: 70
Stat. 986 Name of Statute: null
Statute at Large: 77
Stat. 471 Name of Statute: null
The burden was reduced due to
expiration of the information collection, but is now an increase
because although the law only requires an annual reporting on
program status, the Government Performance Results Act requires
quarterly reports.
$3,840
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Lynn Forcia 202
219-5270
No
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.