The Office of
Federal Financial Management has designed a form for federal-wide
use that will replace this current NASA form. Therefore, the use of
this form is extended for a one-year period at OFFM request.
Inventory as of this Action
Requested
Previously Approved
11/30/2004
11/30/2004
10/31/2003
9,082
0
9,347
16,150
0
17,276
0
0
0
Reports regarding patients are
required to comply with statutes implementing 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.