The form must
display the current OMB approval number 3001-0098. All references
to other OMB approval numbers must be deleted from the form. This
approval is for the form as modified 12/19/83 to clarify Section F
of part III and the instructions for Section F.
Inventory as of this Action
Requested
Previously Approved
11/30/1986
11/30/1986
1,300
0
0
16,250
0
0
0
0
0
NEED IS TO FULFILL REQUIREMENTS OF
PART IV OF APPLICATION FOR FEDERAL ASSISTANCE. USED TO MAKE
DECISIONS REGARDING INITIAL AND RENEWAL VISTA FUNDING. RESPONDENTS
ARE PUBLIC AGENCIES AND PRIVATE NON-PROFIT INCLUDING SMALL
ORGANIZATIONS.
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.