The agency is
not required to display the expiration date on this form.
Inventory as of this Action
Requested
Previously Approved
11/30/1999
11/30/1999
01/31/1997
500
0
500
4,885
0
4,665
0
0
0
Employers can claim a credit for
hiring American Indians or their spouses to work within an Indian
reservation. The credit is figured by multiplying by 20 percent the
increase in wages and health insurance costs over the comparable
amount paid or incurred during calendar year 1996.
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.