This form is
approved without request for the applicant's Social Security
Number. The agency should send the revised form to OMB for
inclusion in the docket.
Inventory as of this Action
Requested
Previously Approved
04/30/2002
04/30/2002
700
0
0
93
0
0
0
0
0
Form is used to collect information
from candidates for advisory councils and nominees for State small
business person of the year. Information is needed to determine
eligibility, conflict of interest potential, and mailing data. This
information is necessary for both uses of form.
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.