The reported burden increase is
a result of an examination of actual usage since the previous
renewal package when the form was combined with a form used for
similar purposes. The increase of 1,200 hours is an adjustment in
agency estimate for a total of 2,580 hours.
$2,625
No
No
No
No
No
Uncollected
Bruce Sharp 304 480-8112
Bruce.Sharp@bpd.treas.gov
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.