VOUCHER FOR WORK PERFORMED UNDER PROVISIONS OF THE FEDERAL AID AND FEDERAL HIGHWAY ACTS, AS AMENDED, FINAL VOUCHER FOR PAYMENT UNDER 23 U.S.C. 117, SCHEDULE
ICR 198209-2125-001
OMB: 2125-0507
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2125-0507 can be found here:
VOUCHER FOR WORK PERFORMED
UNDER PROVISIONS OF THE FEDERAL AID AND FEDERAL HIGHWAY ACTS, AS
AMENDED, FINAL VOUCHER FOR PAYMENT UNDER 23 U.S.C. 117,
SCHEDULE
New
collection (Request for a new OMB Control Number)
VOUCHERS ARE NECESSARY TO DOCUMENT THE
AMOUNT OF RECIPIENT'S CLAIM AS REQUIRED BY 23 U.S.C. 121.
INFORMATION RECEIVED IS ONLY THAT REQUIRED BY STATUTE TO MAKE
PAYMENT TO THE RECIPIENT AND TO PROPERLY ENTER EXPENDITURE DATA
INTO THE FHWA ACCOUNTING SYSTEM.
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.