Offer to Rent on Month-To-Month Basis and Credit Statement of Prospective Tenant

ICR 200407-2900-002

OMB: 2900-0143

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0143 200407-2900-002
Historical Active 200108-2900-001
VA
Offer to Rent on Month-To-Month Basis and Credit Statement of Prospective Tenant
Extension without change of a currently approved collection   No
Regular
Approved without change 09/16/2004
Retrieve Notice of Action (NOA) 07/15/2004
  Inventory as of this Action Requested Previously Approved
09/30/2007 09/30/2007 10/31/2004
100 0 100
33 0 33
0 0 0

The form serves as a credit statement and rental offer executed by prospective tenants of properties owned by VA. Information collected provides basis for acceptance or rejection of offer by VA officials.

None
None


No

1
IC Title Form No. Form Name
Offer to Rent on Month-To-Month Basis and Credit Statement of Prospective Tenant 26-6725

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 100 0 0 0 0
Annual Time Burden (Hours) 33 33 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
07/15/2004


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