THIS FORM IS USED TO COLLECT
INFORMATION ON MINORITY BUSINESS CAPABILITIES FOR REFERRAL TO
PROCUREMENT OFFICIALS INTERESTED IN EXTENDING CONTRACT BIDDING
OPPORTUNITIES TO MINORITY FIRMS. RESPONDENTS ARE MINORITY OWNERS OF
BUSINESS FIRMS CAPABLE OF AND INTERESTED IN SELLING GOODS AND
SERVICES TO GOVERNMENT AGENCIES AND OTHER BUSINESSES.
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.