SUPPLIER'S CERTIFICATE AND AGREEMENT WITH AID-INVOICE AND CONTRACT ABSTRACT

ICR 198512-0412-001

OMB: 0412-0012

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0412-0012 198512-0412-001
Historical Active 198210-0412-003
AID
SUPPLIER'S CERTIFICATE AND AGREEMENT WITH AID-INVOICE AND CONTRACT ABSTRACT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/23/1985
Retrieve Notice of Action (NOA) 12/16/1985
  Inventory as of this Action Requested Previously Approved
11/30/1988 11/30/1988
6,000 0 0
1,500 0 0
0 0 0

WHEN AID IS NOT A PARTY TO A CONTRACT WHICH IT FINANCES, IT NEEDS A MEANS TO COLLECT INFORMATION FROM SUPPLIERS AND A BASIS ON WHICH TO COLLECT REFUNDS OR ADJUSTMENTS FROM SUPPLIERS IN THE EVENT THEY DO NOT COMPLY WITH APPLICABLE AID REGULATIONS. THE INFORMATION ENABLES AID TO KEEP RECORDS OF ITS COMMODITY EXPENDITURES WHICH MAY BE USED FOR

None
None


No

1
IC Title Form No. Form Name
SUPPLIER'S CERTIFICATE AND AGREEMENT WITH AID-INVOICE AND CONTRACT ABSTRACT AID-282

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,000 0 0 6,000 0 0
Annual Time Burden (Hours) 1,500 0 0 1,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
12/16/1985


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