THIS IS A CASH REQUEST FORM. IT
REQUIRES RECIPIENTS TO SCHEDULE FOR ONE ADVANCE WITHIN THE MONTH TO
CORRESPOND TO DISBURSEMEN NEEDS. IT ALSO, REQUIRES THE RECIPIENT TO
REPORT ACTUAL CASH ON HAND AS OF THE REQUEST DATA. RECIPIENT FOR
AWARD ACTIVITY IN ACCORDANCE WITH THE GENERAL ACCOUNTING OFFICE AND
TREASURY REGULATIONS.
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.