You may omit
printing the expiration date on this form. Also, you may continue
to use previous versions of this form.
Inventory as of this Action
Requested
Previously Approved
07/31/1996
07/31/1996
08/31/1993
22,594
0
22,594
20,786
0
20,786
0
0
0
FORM 2350 IS USED TO REQUEST AN
EXTENSION OF TIME TO FILE IN ORDER TO MEET THE BONA FIDE RESIDENCE
OR PHYSICAL PRESENCE TESTS REQUIRED TO GA THE BENEFITS PERMITTED
UNDER SECTION 911. THE INFORMATION FURNISHED I USED TO DETERMINE IF
THE EXTENSION SHOULD BE GRANTED.
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.