This request is
approved, however, the OMB number, expiration date and Paperwork
Reduction Act notice must be added to the form.
Inventory as of this Action
Requested
Previously Approved
12/31/1986
12/31/1986
2,000
0
0
2,000
0
0
0
0
0
THE FORM IS USED TO ALLOW GOVERNMENTS
TO VERIFY THE DATA RECEIVED FROM BUREAU OF CENSUS IN ORDER TO MAKE
ACCURATE ALLOCATIONS OF REVENUE SHARING FUNDS FOR LOCAL
GOVERNMENTS.
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.