General Administrative Requirements for Assistance Programs (Change to Add RPPR)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-LLL Disclosure of Lobbying Activities	Form and Instruction	Modified	Available
Form SF-424D Assurances - Construction Programs	Form and Instruction	Modified	Available
Form SF-424C Budget Information - Construction Programs	Form and Instruction	Modified	Available
Form SF-424B Assurances - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424A Budget Information - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424 Application for Federal Assistance	Form and Instruction	Modified	Available
Form SF-272 Federal Cash Transactions Report	Form and Instruction	Modified	Available
Form SF-272a Federal Cash Transactions Report Continuation	Form and Instruction	Modified	Available
Form SF-271 Outlay Report and Request for Reimbursement for Construction Programs	Form and Instruction	Modified	Available
Form SF-269a Financial Status Report - Short	Form and Instruction	Modified	Available
Form SF-269 Financial Status Report - Long	Form and Instruction	Modified	Available
Form SF-270 Request for Advance or Reimbursement	Form and Instruction	Modified	Available
Form NCER 5 Current and Pending Support	Form and Instruction	Modified	Available
Form 6600-06 Certification Regarding Lobbying	Form and Instruction	Modified	Available
Form 6600-01 EPA Administrative and Financial Onsite Review Questionnaire	Form and Instruction	Modified	Available
Form 5770-9 EPA Fellowship Termination Notice	Form and Instruction	Modified	Available
Form 5770-8 Fellowship Agreement	Form and Instruction	Modified	Available
Form 5770-7 EPA Fellowship Activation Notice	Form and Instruction	Modified	Available
Form 5770-5 Agency Fellowship Certification	Form and Instruction	Modified	Available
Form 5770-4 Fellowship Applicant Qualifications Inquiry	Form and Instruction	Modified	Available
Form 5770-3 Fellowship Facilities and Commitment Statement	Form and Instruction	Modified	Available
Form 5770-2 Fellowship Application	Form and Instruction	Modified	Available
Form 5700-55 Key Contacts Form for Multiple Principal Investigators	Form and Instruction	Modified	Available
Form 5700-54 Key Contacts Form	Form and Instruction	Modified	Repair queued
Form 4700-4 Preaward Compliance Review Report	Form and Instruction	Modified	Available
Form 6600-09 EPA Administrative Capability Questionnaire	Form and Instruction	Modified	Available
Form 6600-08 Lobbying Cost Certificate for Indirect Costs	Form and Instruction	Modified	Available
Form SF-LLL Disclosure of Lobbying Activities	Form and Instruction	Modified	Available
Form SF-424D Assurances - Construction Programs	Form and Instruction	Modified	Available
Form SF-424C Budget Information - Construction Programs	Form and Instruction	Modified	Available
Form SF-424B Assurances - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424A Budget Information - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424 Application for Federal Assistance	Form and Instruction	Modified	Available
Form SF-272 Federal Cash Transactions Report	Form and Instruction	Modified	Available
Form SF-272a Federal Cash Transactions Report Continuation	Form and Instruction	Modified	Available
Form SF-271 Outlay Report and Request for Reimbursement for Construction Programs	Form and Instruction	Modified	Available
Form SF-269a Financial Status Report - Short	Form and Instruction	Modified	Available
Form SF-269 Financial Status Report - Long	Form and Instruction	Modified	Available
Form SF-270 Request for Advance or Reimbursement	Form and Instruction	Modified	Available
Form NCER 5 Current and Pending Support	Form and Instruction	Modified	Available
Form 6600-08 Lobbying Cost Certificate for Indirect Costs	Form and Instruction	Modified	Available
Form 6600-06 Certification Regarding Lobbying	Form and Instruction	Modified	Available
Form 6600-01 EPA Administrative and Financial Onsite Review Questionnaire	Form and Instruction	Modified	Available
Form 5770-9 EPA Fellowship Termination Notice	Form and Instruction	Modified	Repair queued
Form 5770-8 Fellowship Agreement	Form and Instruction	Modified	Available
Form 5770-7 EPA Fellowship Activation Notice	Form and Instruction	Modified	Available
Form 5770-5 Agency Fellowship Certification	Form and Instruction	Modified	Available
Form 5770-4 Fellowship Applicant Qualifications Inquiry	Form and Instruction	Modified	Available
Form 5770-3 Fellowship Facilities and Commitment Statement	Form and Instruction	Modified	Available
Form 5770-2 Fellowship Application	Form and Instruction	Modified	Available
Form 5700-55 Key Contacts Form for Multiple Principal Investigators	Form and Instruction	Modified	Available
Form 5700-54 Key Contacts Form	Form and Instruction	Modified	Available
Form 4700-4 Preaward Compliance Review Report	Form and Instruction	Modified	Available
Form 6600-09 EPA Administrative Capability Questionnaire	Form and Instruction	Modified	Available
Form SF-LLL Disclosure of Lobbying Activities	Form and Instruction	Modified	Available
Form SF-424D Assurances - Construction Programs	Form and Instruction	Modified	Available
Form SF-424C Budget Information - Construction Programs	Form and Instruction	Modified	Available
Form SF-424B Assurances - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424A Budget Information - Non-Construction Programs	Form and Instruction	Modified	Available
Form SF-424 Application for Federal Assistance	Form and Instruction	Modified	Available
Form SF-272 Federal Cash Transactions Report	Form and Instruction	Modified	Available
Form SF-272a Federal Cash Transactions Report Continuation	Form and Instruction	Modified	Available
Form SF-271 Outlay Report and Request for Reimbursement for Construction Programs	Form and Instruction	Modified	Available
Form SF-269a Financial Status Report - Short	Form and Instruction	Modified	Available
Form SF-269 Financial Status Report - Long	Form and Instruction	Modified	Available
Form SF-270 Request for Advance or Reimbursement	Form and Instruction	Modified	Available
Form NCER 5 Current and Pending Support	Form and Instruction	Modified	Available
Form 6600-08 Lobbying Cost Certificate for Indirect Costs	Form and Instruction	Modified	Available
Form 6600-06 Certification Regarding Lobbying	Form and Instruction	Modified	Available
Form 6600-01 EPA Administrative and Financial Onsite Review Questionnaire	Form and Instruction	Modified	Available
Form 5770-9 EPA Fellowship Termination Notice	Form and Instruction	Modified	Available
Form 5770-8 Fellowship Agreement	Form and Instruction	Modified	Available
Form 5770-7 EPA Fellowship Activation Notice	Form and Instruction	Modified	Available
Form 5770-5 Agency Fellowship Certification	Form and Instruction	Modified	Available
Form 5770-4 Fellowship Applicant Qualifications Inquiry	Form and Instruction	Modified	Available
Form 5770-3 Fellowship Facilities and Commitment Statement	Form and Instruction	Modified	Available
Form 5770-2 Fellowship Application	Form and Instruction	Modified	Available
Form 5700-55 Key Contacts Form for Multiple Principal Investigators	Form and Instruction	Modified	Available
Form 5700-54 Key Contacts Form	Form and Instruction	Modified	Available
Form 4700-4 Preaward Compliance Review Report	Form and Instruction	Modified	Available
Form 6600-09 EPA Administrative Capability Questionnaire	Form and Instruction	Modified	Available
0938.19 RPPR format.doc	Supplementary Document	Uploaded 2011-08-02	Available
0938.19 OMB RPPR Guidelines.docx	Supplementary Document	Uploaded 2011-08-02	Available
0938.19 RPPR change Memo.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2011-08-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Disclosure of Lobbying Activities
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Assurances - Construction Programs
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Budget Information - Construction Programs
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Assurances - Non-Construction Programs
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Budget Information - Non-Construction Programs
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Application for Federal Assistance
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Federal Cash Transactions Report
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Federal Cash Transactions Report Continuation
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Outlay Report and Request for Reimbursement for Construction Programs
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Financial Status Report - Short
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Financial Status Report - Long
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Request for Advance or Reimbursement
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Current and Pending Support
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Certification Regarding Lobbying
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	EPA Administrative and Financial Onsite Review Questionnaire
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	EPA Fellowship Termination Notice
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Fellowship Agreement
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	EPA Fellowship Activation Notice
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Agency Fellowship Certification
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Fellowship Applicant Qualifications Inquiry
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Fellowship Facilities and Commitment Statement
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Fellowship Application
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Key Contacts Form for Multiple Principal Investigators
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Key Contacts Form
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Preaward Compliance Review Report
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	EPA Administrative Capability Questionnaire
23551	General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	Form and Instruction	Modified	Lobbying Cost Certificate for Indirect Costs
190700	ARRA grants	Form and Instruction	Modified	Disclosure of Lobbying Activities
190700	ARRA grants	Form and Instruction	Modified	Assurances - Construction Programs
190700	ARRA grants	Form and Instruction	Modified	Budget Information - Construction Programs
190700	ARRA grants	Form and Instruction	Modified	Assurances - Non-Construction Programs
190700	ARRA grants	Form and Instruction	Modified	Budget Information - Non-Construction Programs
190700	ARRA grants	Form and Instruction	Modified	Application for Federal Assistance
190700	ARRA grants	Form and Instruction	Modified	Federal Cash Transactions Report
190700	ARRA grants	Form and Instruction	Modified	Federal Cash Transactions Report Continuation
190700	ARRA grants	Form and Instruction	Modified	Outlay Report and Request for Reimbursement for Construction Programs
190700	ARRA grants	Form and Instruction	Modified	Financial Status Report - Short
190700	ARRA grants	Form and Instruction	Modified	Financial Status Report - Long
190700	ARRA grants	Form and Instruction	Modified	Request for Advance or Reimbursement
190700	ARRA grants	Form and Instruction	Modified	Current and Pending Support
190700	ARRA grants	Form and Instruction	Modified	Lobbying Cost Certificate for Indirect Costs
190700	ARRA grants	Form and Instruction	Modified	Certification Regarding Lobbying
190700	ARRA grants	Form and Instruction	Modified	EPA Administrative and Financial Onsite Review Questionnaire
190700	ARRA grants	Form and Instruction	Modified	EPA Fellowship Termination Notice
190700	ARRA grants	Form and Instruction	Modified	Fellowship Agreement
190700	ARRA grants	Form and Instruction	Modified	EPA Fellowship Activation Notice
190700	ARRA grants	Form and Instruction	Modified	Agency Fellowship Certification
190700	ARRA grants	Form and Instruction	Modified	Fellowship Applicant Qualifications Inquiry
190700	ARRA grants	Form and Instruction	Modified	Fellowship Facilities and Commitment Statement
190700	ARRA grants	Form and Instruction	Modified	Fellowship Application
190700	ARRA grants	Form and Instruction	Modified	Key Contacts Form for Multiple Principal Investigators
190700	ARRA grants	Form and Instruction	Modified	Key Contacts Form
190700	ARRA grants	Form and Instruction	Modified	Preaward Compliance Review Report
190700	ARRA grants	Form and Instruction	Modified	EPA Administrative Capability Questionnaire
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Disclosure of Lobbying Activities
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Assurances - Construction Programs
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Budget Information - Construction Programs
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Assurances - Non-Construction Programs
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Budget Information - Non-Construction Programs
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Application for Federal Assistance
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Federal Cash Transactions Report
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Federal Cash Transactions Report Continuation
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Outlay Report and Request for Reimbursement for Construction Programs
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Financial Status Report - Short
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Financial Status Report - Long
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Request for Advance or Reimbursement
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Current and Pending Support
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Lobbying Cost Certificate for Indirect Costs
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Certification Regarding Lobbying
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	EPA Administrative and Financial Onsite Review Questionnaire
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	EPA Fellowship Termination Notice
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Fellowship Agreement
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	EPA Fellowship Activation Notice
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Agency Fellowship Certification
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Fellowship Applicant Qualifications Inquiry
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Fellowship Facilities and Commitment Statement
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Fellowship Application
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Key Contacts Form for Multiple Principal Investigators
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Key Contacts Form
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	Preaward Compliance Review Report
188505	General Administrative Requirements for Assistance Programs: Non-Profits	Form and Instruction	Modified	EPA Administrative Capability Questionnaire

ICR Details

OMB Control No: 2030-0020	ICR Reference No: 201108-2030-001
Status: Historical Inactive	Previous ICR Reference No: 200909-2030-001
Agency/Subagency: EPA/OMS	Agency Tracking No: 0938.19
Title: General Administrative Requirements for Assistance Programs (Change to Add RPPR)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 02/09/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/02/2011
Terms of Clearance: Previous TOC apply.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	04/30/2012	06/30/2014
Responses	51,664	0	51,664
Time Burden (Hours)	134,597	0	134,597
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a change request to add the new Research Performance Progress Report (RPPR) format to the general grants ICR. The information elements are already approved by the existing ICR. This format was developed in agreement with OMB - see attached OMB guidance for PRA.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
ARRA grants	SF-269a, SF-271, SF-272a, SF-272, SF-424, SF-424A, SF-424B, SF-424C, SF-424D, SF-LLL, 6600-09, 4700-4, 5700-55, 5770-2, 5770-3, 5770-4, 5770-5, 5770-7, 5770-8, 5770-9, 6600-01, 6600-06, 6600-08, NCER 5, SF-270, SF-269, 5700-54	EPA Administrative Capability Questionnaire ,   Preaward Compliance Review Report ,   Key Contacts Form ,   Key Contacts Form for Multiple Principal Investigators ,   Fellowship Application ,   Fellowship Facilities and Commitment Statement ,   Fellowship Applicant Qualifications Inquiry ,   Agency Fellowship Certification ,   EPA Fellowship Activation Notice ,   Fellowship Agreement ,   EPA Fellowship Termination Notice ,   EPA Administrative and Financial Onsite Review Questionnaire ,   Certification Regarding Lobbying ,   Lobbying Cost Certificate for Indirect Costs ,   Current and Pending Support ,   Request for Advance or Reimbursement ,   Financial Status Report - Long ,   Financial Status Report - Short ,   Outlay Report and Request for Reimbursement for Construction Programs ,   Federal Cash Transactions Report Continuation ,   Federal Cash Transactions Report ,   Application for Federal Assistance ,   Budget Information - Non-Construction Programs ,   Assurances - Non-Construction Programs ,   Budget Information - Construction Programs ,   Assurances - Construction Programs ,   Disclosure of Lobbying Activities
General Administrative Requirements for Assistance Programs: Non-Profits	5770-5, 5770-7, 5770-8, 5770-9, 6600-01, 6600-06, 6600-08, NCER 5, 4700-4, 5700-54, 5700-55, 5770-2, 5770-3, 5770-4, SF-270, SF-269, SF-269a, SF-271, SF-272a, SF-272, SF-424, SF-424A, SF-424B, SF-424C, SF-424D, SF-LLL, 6600-09	EPA Administrative Capability Questionnaire ,   Preaward Compliance Review Report ,   Key Contacts Form ,   Key Contacts Form for Multiple Principal Investigators ,   Fellowship Application ,   Fellowship Facilities and Commitment Statement ,   Fellowship Applicant Qualifications Inquiry ,   Agency Fellowship Certification ,   EPA Fellowship Activation Notice ,   Fellowship Agreement ,   EPA Fellowship Termination Notice ,   EPA Administrative and Financial Onsite Review Questionnaire ,   Certification Regarding Lobbying ,   Lobbying Cost Certificate for Indirect Costs ,   Current and Pending Support ,   Request for Advance or Reimbursement ,   Financial Status Report - Long ,   Financial Status Report - Short ,   Outlay Report and Request for Reimbursement for Construction Programs ,   Federal Cash Transactions Report Continuation ,   Federal Cash Transactions Report ,   Application for Federal Assistance ,   Budget Information - Non-Construction Programs ,   Assurances - Non-Construction Programs ,   Budget Information - Construction Programs ,   Assurances - Construction Programs ,   Disclosure of Lobbying Activities
General Administrative Requirements for Assistance Programs: State, Local, Tribal Governments	6600-09, 4700-4, SF-270, SF-269, 6600-01, 6600-06, 6600-08, NCER 5, 5700-54, 5700-55, 5770-2, 5770-3, 5770-4, 5770-5, 5770-7, 5770-8, 5770-9, SF-269a, SF-271, SF-272a, SF-272, SF-424, SF-424A, SF-424B, SF-424C, SF-424D, SF-LLL	EPA Administrative Capability Questionnaire ,   Preaward Compliance Review Report ,   Key Contacts Form ,   Key Contacts Form for Multiple Principal Investigators ,   Fellowship Application ,   Fellowship Facilities and Commitment Statement ,   Fellowship Applicant Qualifications Inquiry ,   Agency Fellowship Certification ,   EPA Fellowship Activation Notice ,   Fellowship Agreement ,   EPA Fellowship Termination Notice ,   EPA Administrative and Financial Onsite Review Questionnaire ,   Certification Regarding Lobbying ,   Lobbying Cost Certificate for Indirect Costs ,   Current and Pending Support ,   Request for Advance or Reimbursement ,   Financial Status Report - Long ,   Financial Status Report - Short ,   Outlay Report and Request for Reimbursement for Construction Programs ,   Federal Cash Transactions Report Continuation ,   Federal Cash Transactions Report ,   Application for Federal Assistance ,   Budget Information - Non-Construction Programs ,   Assurances - Non-Construction Programs ,   Budget Information - Construction Programs ,   Assurances - Construction Programs ,   Disclosure of Lobbying Activities

---

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $3,496,578

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/02/2011

---