FORM IS NEEDED TO FORMALIZE THE
AGREEMENT ENTERED INTO BETWEEN THE GOVERNMENT AND PARTICIPANTS IN
THIS FINANCIAL ASSISTANCE PROGRAM. SERVES ALSO TO DETERMINE THE
AGREEMENT HOLDER'S ELIGIBILITY TO PARTICI PATE IN THE PROGRAM AND
TO REDUCE TO WRITING THOSE OBJECTIVES THAT ARE TO BE PAID FOR WITH
ASSETS CONTROLLED BY THE AGREEMENT.
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.