Approved with
modifications as agreed to during FEDAC review. The program agency
is reminded to forward copies of the printed form to both FEDAC and
OMB.
Inventory as of this Action
Requested
Previously Approved
08/31/1984
08/31/1984
247,500
0
0
111,375
0
0
0
0
0
THIS FORM WAS DESIGNED TO PROVIDE THE
MAXIMUM EFFICIENCY FOR FULL REPORTING OF DEBTOR INFORMATION FOR
BOTH THE INSTITUTION AND THE FEDERAL GOVERNMENT. THE REPORT WILL
CONTAIN A COMPLETE STATEMENT OF THE FACTS AND COMPUTATIONS WHICH
ARE PERTINENT UNDER LAWS AND REGULATIONS ON THE BASIS OF WHICH THE
DEBT WAS ADMINISTRATIVELY DETERMINED.
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.