FORM MUST BE OBTAINED BY A BANK AND
RETAINED IN ITS RECORDS IN CONNECTION WITH AN EXTENSION OF CREDIT
SECURED DIRECTLY OR INDIRECTLY BY ANY STOCK. COMPLETED BY BORROWER
AND BANK. FORM USED TO DETERMINE PURPOSE FOR WHICH LOAN PROCEEDS
WILL BE USED, AND BY SIGNING FORM, BOTH PARTIES ACKNOWLEDGE THAT
LOAN PROCEEDS MAY BE SUBJECT TO RESTRICTIONS OF REGULATION
U.
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.