SUPPLIER'S CERTIFICATE AND AGREEMENT WITH AID FOR PROJECT COMMODITIES/INVOICE AND CONTRACT ABSTRACT

ICR 198703-0412-001

OMB: 0412-0020

Federal Form Document

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Name
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ICR Details
0412-0020 198703-0412-001
Historical Active 198502-0412-001
AID
SUPPLIER'S CERTIFICATE AND AGREEMENT WITH AID FOR PROJECT COMMODITIES/INVOICE AND CONTRACT ABSTRACT
Revision of a currently approved collection   No
Regular
Approved without change 03/30/1987
Retrieve Notice of Action (NOA) 03/02/1987
THIS SURVEY IS APPROVED SUBJECT TO THE FOLLOWING CONDITIONS: IN BLOCKS 11.C AND 11.D. CHANGE THE WORDS "ECONOMICALLY AND SOCIALLY DISADVANTAGED ENTERPRISES" TO SMALL DISADVANTAGED BUSINESS CONCERN". ON THE CONTINUATION OF INSTRUCTIONS FOR COMPLETING FORM AID 1450-4 IN THE DEFINITION CONTAINED IN BLOCK 11, DELETE THE WORDS " MAKING A SIGNIFICANT CONTRIBUTION TO THE U.S. ECONOMY." ON THE LAST PAGE, RATHER THAN COMPLETELY REPEATING OR REPHRASING the Far 19.001 language, reference FAR 19.001.
  Inventory as of this Action Requested Previously Approved
03/31/1990 03/31/1990 04/30/1987
1,200 0 8,000
600 0 2,000
0 0 0

WHEN AID IS NOT APARTY TO A CONTRACT WHICH IT FINANCES, IT NEEDS SOME MEANS TO COLLECT INFORMATION AND TO TAKE APPROPRIATE ACTION IN THE EVENT SUPPLIERS DO NOT COMPLY WITH AID REQUIREMENTS. THE INFORMATION ENABLES AID TO KEEP RECORDS OF COMMODITY EXPENDITURES FORPROGRAM MANAGEMENT PURPOSES AND REQUIRED REPORTS. IT ALSO ALLOWS F POSITIVE IDENTIFICATION OF TRANSACTIONS WHRE OVERCHARGES OCCUR.

None
None


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1
IC Title Form No. Form Name
SUPPLIER'S CERTIFICATE AND AGREEMENT WITH AID FOR PROJECT COMMODITIES/INVOICE AND CONTRACT ABSTRACT AID 1450-4

  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 1,200 8,000 0 0 -6,800 0
Annual Time Burden (Hours) 600 2,000 0 0 -1,400 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
03/02/1987


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