SSA will utilize
the revised (as of 4/88) versions of Standard Form 424, Standard
Form 424-A, and Standard Form 424-B, along with instructions for
each appropriate section.
Inventory as of this Action
Requested
Previously Approved
10/31/1991
10/31/1991
150
0
0
2,100
0
0
0
0
0
THE INFORMATION COLLECTED BY THE
SSA-96 IS NEEDED BY THE SOCI SECURITY ADMINISTRATION TO EVALUATE
PROPOSED FEDERAL GRANTS TO ELIGIBL APPLICANTS. THE AFFECTED PUBLIC
IS COMPRISED OF ORGANIZATIONS OR INDIVIDUALS WHICH APPLY FOR
GRANTS.
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.