REA Form 491 is
approved only for use through Septemebr 30, 1984. Thi short term
clearance is necessary to enable the REA to cnsolidate this form
under the same OMB clearance number as REA form 497, and other lo
application forms under the telephone programs.
Inventory as of this Action
Requested
Previously Approved
09/30/1984
09/30/1984
07/31/1984
1,700
0
1,700
850
0
850
0
0
0
THIS FORM IS USED IN REA TO DETERMINE
THE AMOUNT AND FORM OF LOAN APPLICANT'S GENERAL FUNDS AND OTHER
INFORMATION CONCERNING "RECEIBLES" AND "PAYABLE" ETC. THIS FORM IS
ALSO SUBMITTED BY THE BORROWER IN SUPPORT OF EACH FINANCIAL
REQUIREMENT STATEMENT SUBMITTED (REQUEST FOR ADVANCE OF
FUNDS).
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.