2012-227 - Laserfiche WebLink

Home Browse Search

ATTACHMENT FB Apym d OM NO. 20304M AppowlExpim 1201102 LOBBYING AND LITIGATION CERTIFICATE * 6EPA I hereby certify that none of these funds have been used to engage in the lobbying of the Federal Government or in litigation against the United States unless authorized under existing law. Assistance Agreement Number(s)" Chief Executive Officer Date * Complete this form pursuant to the 2001 Department of Veterans Affairs and Housing and Urban Development, and Independent Appropriations Acts , Public Law 106- 277, Section 424 and 2000 Department of Veterans Affairs and Housing and Urban Development, and Independent Appropriations Acts, Public Law 106=74, Section 426 and any other subsequent Appropriation Act requirements. * *If certifying for more than one grant number and more space is needed, please list additional numbers in the space provided below : Please mail this form to your Grant Specialist. DO NOT send this information to the Office of Management & Budget. Burden Statement - The annual public reporting and record keeping burden for this collection of information is estimated to average 5 minutes per respondent. Burden mesas the total time, effort, or financial resources expended bypersons to 4enerate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; devdop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying infbnmation, processing and maintaining information, and disclosing and providing infornation; adjust the existing ways to comely with any previously applicable instructions and requirements; tram personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control numbers for EPA' s regulations are listed is 40 CFR Part 9 and 48 CFR Chapter 15 . Send comments on the Agency' s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minirmang respondent burden, including through the use of automated collection techniques to the Director, Regulatory Information Division, U.S. Environmental Protection Agency (2137), 401 M. St. , S.W. Washington, D. C. 20460; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 171h Street, NW, Washington, DC 20503 , Attention: Desk Officer for EPA. Include the EPA ICR number and OMB control number in any correspondence. EPA Form 5700-53 (Rev. 2=02) DEP Agreement No . G0353 , Attachment I, Page 1 of 1