Suspension and Debarment and Drug-Free Workplace Certifications

ICR 202204-0505-001

OMB: 0505-0027

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0505-0027 202204-0505-001
Received in OIRA 201910-0505-002
Suspension and Debarment and Drug-Free Workplace Certifications
Revision of a currently approved collection   No
Regular 04/29/2022
  Requested Previously Approved
36 Months From Approved 04/30/2022
1 1
1 1
0 0

To certify information on applicant suitability concerning distribution of financial assistance in compliance with Federal Suspension and Debarment and Drug-Free Workplace regulations.

US Code: 41 USC 8101 Name of Law: Drug-Free Workplace

Not associated with rulemaking

  87 FR 3755 01/25/2022
87 FR 25214 04/28/2022

  Total Request 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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Martha Burton 202 205-6182


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.

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