Information Collection Request

Ginnie Mae Mortgage-Backed Securities Programs

ICR 202512-2503-001 · OMB 2503-0033 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form Appendix XI-01B REQUEST FOR PASS-THROUGH ASSISTANCE RELATED TO COVID-19 AND REPAYMENT AGREEMENT - MULTIFAMILY PROGRAM Form and Instruction Modified Available
Form Appendix XI-01A REQUEST FOR PASS-THROUGH ASSISTANCE RELATED TO COVID-19 AND REPAYMENT AGREEMENT Form and Instruction Modified Available
Form Appendix XI-01 Request for Disaster Assistance Form and Instruction Modified Available
Form Appendix VI-24 RFS Loan Liquidation Event Reporting Form and Instruction Modified Available
Form Appendix VI-20 ELECTRONIC SUBMISSION OF ISSUERS’ INSURANCE AND ANNUAL AUDITED FINANCIAL DOCUMENTS Form and Instruction Modified Available
Form Appendix VI-22 REPORTING AND FEEDBACK SYSTEM (RFS) SINGLE FAMILY ISSUER MONTHLY PAYMENT DEFAULT STATUS (PDS) LOAN LEVEL REPORTING Form and Instruction Modified Available
Form Appendix 111-07 HU Schedule of Pooled Mortgages Form and Instruction Modified Available
Form HUD - 11705 Schedule of Subscribers and Ginnie Mae Guaranty Agreement Form and Instruction Modified Available
Form HUD-11708 INSTRUCTIONS FOR REQUEST OF RELEASE OF DOCUMENTS Form and Instruction Modified Available
Form HUD - 11708 REQUEST FOR RELEASE OF DOCUMENTS Form Modified Available
Form Appendix VI-19 REPORTING AND FEEDBACK SYSTEM (RFS) ISSUER MONTHLY REPORT OF POOL AND LOAN DATA Form and Instruction Modified Available
Form Appendix VI-17 REPORTING AND FEEDBACK SYSTEM (RFS) HMBS ISSUER MONTHLY REPORT OF POOL, LOAN AND PARTICIPATION DATA Form and Instruction Modified Available
Form Appendix III-02_In Master Atreement for Servicer's Principal and Interest Custodial Account Form and Instruction Modified Available
Form Appendix III-02 Fo Master Agreement for Service's Principal and interest Custodial Account Form and Instruction Modified Available
Form Appendix XI-09 SSCRA Eligibility and Reimbursement Files Form and Instruction Modified Available
Form Appendix XI-08 Service Members Civil Relief Act Quartrely Reimbursement Requirement Form and Instruction Modified Available
Form Appendix XI-06 SSCRA Loan Eligibility Information Form and Instruction Modified Available
Form Appendix VIII-01 Ginnie Mae Acknowledgement Agreement and Accompanying Documents Pledge of Servicing Form and Instruction Modified Available
Form Appendix VI-11Form Issuer's Monthly Serial Note Remittance Advice Form and Instruction Modified Available
Form Appendix I-07 Form Master Agreement for Participation Accounting Form and Instruction Modified Available
Form Appendix III-05 Release of Security Interest and Certification and Agreement Form and Instruction Modified Available
Form Appendix III-04 MASTER CUSTODIAL AGREEMENT Form and Instruction Modified Available
Form Appendix III-03 Master Agreement for Servicer's Escrow Custodial Account Form and Instruction Modified Available
Form Appendix III-01 Fo Master Servicing Agreement Form and Instruction Modified Available
Form Appendix III-01 In Master Servicing Agreement Form and Instruction Modified Available
Form Appendix I-02-Inst Resolution of Board of Directors and Certificate of Authorized Signatures Form and Instruction Modified Available
Form Appendix I-01 Inst Application for Approval Ginnie Mae Mortgage- Backed Securities Issuser Form and Instruction Modified Available
Form Appendix III-06 HU Schedule of subscribers and Ginnie Mae Guaranty Agreement Form and Instruction Modified Available
Form Appendix III-07 HU Schedule of Pooled Mortgages Form and Instruction Modified Available
Form Appendix VI_21 HMBS Issuer's Monthly Summary Report Form and Instruction Modified Available
Form Appendix III-28 Schedule of Subscribers and Ginnie Mae Guaranty Agreement-HMBS Pooling Import File Layout Form and Instruction Modified Available
Form Appendix III-21 Certification Requirements for the Pooling of Multifamily Mature Loan Program Form and Instruction Modified Available
Form Appendix -13 Electronic Data Interchange System Agreement Form and Instruction Modified Available
Form Appendix III-05 Fo Certification and Agreement Form and Instruction Modified Available
Form Appendix III-03 Fo Masters Agreement for Servicer's Escrow Custodial Account Form and Instruction Modified Available
Form Appendix III-05 Fo Release of Security Interest Form and Instruction Modified Available
Form Appendex VI-10 For Issuer's Monthly Remittance Advice Form and Instruction Modified Available
Form VI-9 Request for Reimbursement of Mortgage Insurance Claim Costs Form and Instruction Modified Available
Form OFFICIAL App. VI-1 Quarterly Custodial Account Verification Record File Layout Form and Instruction Modified Available
Form Appendix VI-18 WHFIT Reporting Form and Instruction Modified Available
Form Appendix VI-16 Quarterly Custodial Account Verification Record File Layout Form and Instruction Modified Available
Form Appendix VI-14 Multifamily Prepayment Penalty Record File Layout Form and Instruction Modified Available
Form Appendix VI-10 Issuer's Monthly Remittance Advice Form and Instruction Modified Available
Form Appendix VI-02 Letter for Loan Repurchase Form and Instruction Modified Available
Form Appendix III-22For Custodian's Certification for Construction Securities Form and Instruction Modified Available
Form Appendix III-04For Master Custodial Agreement Form and Instruction Modified Available
Form Appendix II-02 For Commitment to Guaranty Mortgage-Backed Securities Form and Instruction Modified Available
Form Appendix II-01 Letter of Transmittal Form and Instruction Modified Available
Form Appendix II-01 For Letter of Transmittal Form and Instruction Modified Available
Form Appendix I-07 Form Master Agreement fore Participation Accounting Form and Instruction Modified Available
Form Appendix I-06Form1 ACH Debit Authorization Form and Instruction Modified Available
Form Appendix I-06 ACH Debit Authorization Form and Instruction Modified Available
Form Appendix I-04 - 1. Cross Default Agreement Form and Instruction Modified Available
Form Appendix I-02Form1 Resolution of Board of Directors and Certificate of Authorized Signatures Form and Instruction Modified Available
Form Appendix I-01 Form Application for Approval Ginnie Mae Mortgage-Backed Securities Issuer Form and Instruction Modified Available
Form Appendex VI-05 ISSUER’S MONTHLY SUMMARY REPORT Form and Instruction Modified Available
Form Appendex III-07 HU Schedule of Pooled Mortgages Form Modified Available
Form Appendex III-06 HU Schedule of Subscribers and Ginnie Mae Guaranty Agreement Form and Instruction Modified Available
Form Appendex III-29 IN SYSTEMS ACCESS FORMS Form and Instruction Modified Available
Form App. VIII-03 Assignment Agreement Form and Instruction Modified Available
Published 30 Day Notiice 2026-07141.pdf Supplementary Document Uploaded 2026-04-15 Available
Comments and Response PRA June 2026.pdf Public Comments Uploaded 2026-04-09 Available
Final - OMB 2503-0033 Supporting Statement 2026.docx Supporting Statement A Uploaded 2026-04-09 Available
PIA -GinnieNET.pdf Supplementary Document Uploaded 2016-05-17 Available
PIA - UFS.pdf Supplementary Document Uploaded 2016-05-17 Available
PIA - IPMS.pdf Supplementary Document Uploaded 2016-05-17 Available
PIA - GSS.pdf Supplementary Document Uploaded 2016-05-17 Available
MBS Attachment A.xlsx Supplementary Document Uploaded 2016-05-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedREQUEST FOR PASS-THROUGH ASSISTANCE RELATED TO COVID-19 AND REPAYMENT AGREEMENT - MULTIFAMILY PROGRAM
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedREQUEST FOR PASS-THROUGH ASSISTANCE RELATED TO COVID-19 AND REPAYMENT AGREEMENT
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedRequest for Disaster Assistance
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedRFS Loan Liquidation Event Reporting
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedELECTRONIC SUBMISSION OF ISSUERS’ INSURANCE AND ANNUAL AUDITED FINANCIAL DOCUMENTS
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedREPORTING AND FEEDBACK SYSTEM (RFS) SINGLE FAMILY ISSUER MONTHLY PAYMENT DEFAULT STATUS (PDS) LOAN LEVEL REPORTING
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSchedule of Pooled Mortgages
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSchedule of Subscribers and Ginnie Mae Guaranty Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedINSTRUCTIONS FOR REQUEST OF RELEASE OF DOCUMENTS
27389 Ginnie Mae Mortgage-Backed Securities Programs Form ModifiedREQUEST FOR RELEASE OF DOCUMENTS
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedREPORTING AND FEEDBACK SYSTEM (RFS) ISSUER MONTHLY REPORT OF POOL AND LOAN DATA
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedREPORTING AND FEEDBACK SYSTEM (RFS) HMBS ISSUER MONTHLY REPORT OF POOL, LOAN AND PARTICIPATION DATA
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Atreement for Servicer's Principal and Interest Custodial Account
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Agreement for Service's Principal and interest Custodial Account
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSSCRA Eligibility and Reimbursement Files
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedService Members Civil Relief Act Quartrely Reimbursement Requirement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSSCRA Loan Eligibility Information
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedGinnie Mae Acknowledgement Agreement and Accompanying Documents Pledge of Servicing
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedIssuer's Monthly Serial Note Remittance Advice
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Agreement for Participation Accounting
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedRelease of Security Interest and Certification and Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMASTER CUSTODIAL AGREEMENT
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Agreement for Servicer's Escrow Custodial Account
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Servicing Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Servicing Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedResolution of Board of Directors and Certificate of Authorized Signatures
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedApplication for Approval Ginnie Mae Mortgage- Backed Securities Issuser
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSchedule of subscribers and Ginnie Mae Guaranty Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSchedule of Pooled Mortgages
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedHMBS Issuer's Monthly Summary Report
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSchedule of Subscribers and Ginnie Mae Guaranty Agreement-HMBS Pooling Import File Layout
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedCertification Requirements for the Pooling of Multifamily Mature Loan Program
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedElectronic Data Interchange System Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedCertification and Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMasters Agreement for Servicer's Escrow Custodial Account
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedRelease of Security Interest
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedIssuer's Monthly Remittance Advice
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedRequest for Reimbursement of Mortgage Insurance Claim Costs
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedQuarterly Custodial Account Verification Record File Layout
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedWHFIT Reporting
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedQuarterly Custodial Account Verification Record File Layout
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMultifamily Prepayment Penalty Record File Layout
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedIssuer's Monthly Remittance Advice
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedLetter for Loan Repurchase
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedCustodian's Certification for Construction Securities
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Custodial Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedCommitment to Guaranty Mortgage-Backed Securities
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedLetter of Transmittal
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedLetter of Transmittal
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedMaster Agreement fore Participation Accounting
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedACH Debit Authorization
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedACH Debit Authorization
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedCross Default Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedResolution of Board of Directors and Certificate of Authorized Signatures
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedApplication for Approval Ginnie Mae Mortgage-Backed Securities Issuer
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedISSUER’S MONTHLY SUMMARY REPORT
27389 Ginnie Mae Mortgage-Backed Securities Programs Form ModifiedSchedule of Pooled Mortgages
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSchedule of Subscribers and Ginnie Mae Guaranty Agreement
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedSYSTEMS ACCESS FORMS
27389 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction ModifiedAssignment Agreement
ICR Details
2503-0033 202512-2503-001
Received in OIRA 202309-2503-001
HUD/GNMA
Ginnie Mae Mortgage-Backed Securities Programs
Revision of a currently approved collection   No
Regular 04/15/2026
  Requested Previously Approved
36 Months From Approved 04/30/2026
2,544,133 216,128
87,200 48,501
0 0

The information collected is needed by Ginnie Mae for the participation of issuers/customers in its Mortgage-Backed Securities programs and to monitor performance and compliance with established rules and regulations.

US Code: 12 USC 1716 Title III Name of Law: The National Housing Act
  
None

Not associated with rulemaking

  90 FR 24642 06/11/2025
91 FR 19195 04/14/2026
No

1
IC Title Form No. Form Name
Ginnie Mae Mortgage-Backed Securities Programs Appendix III-07 HUD 11706 Instructions, Appendix III-06 HUD 11705 Instructions, Appendix I-07 Form 11703 , Appendix VI-11Form1174SN, Appendix III-02_Instructions, Appendix VI-17, Appendix VI-19, HUD - 11708, HUD-11708, HUD - 11705, Appendix 111-07 HUD - 11706, Appendix VI-20, Appendix XI-01B, Appendix VI-24, Appendix XI-01 , Appendix XI-01A, Appendix VI-22, App. VIII-03, Appendix VI-18, Appendix III-22Form11732, Appendix VI-02, Appendix VI-10, Appendix I-02Form11702, Appendex III-06 HUD 11705, Appendex VI-05 , Appendix I-01 Form 11701, Appendix I-06, Appendex III-29 INSTRUCTIONS, Appendex III-07 HUD 11706, Appendix I-04 - 1.8.15, Appendix I-06Form11709A, Appendix I-07 Form HUD 11703-II , Appendix II-01 Form 11700, Appendix II-01, Appendix II-02 Form 11704, Appendix III-04Form11715, Appendix III-05 Form 11711A, Appendix III-03 Form 11720, Appendix III-05 Form 11711B, Appendix III-28, Appendix VI_21, Appendex VI-10 Form 11714, Appendix III-21, Appendix -13, Appendix I-01 Instructions, Appendix XI-08, Appendix III-04, Appendix VIII-01, Appendix XI-06, Appendix XI-09, Appendix III-02 Form 11709, Appendix III-01 Form 11707, OFFICIAL App. VI-16, Appendix I-02-Insturuction, Appendix III-01 Instructions, Appendix III-03, Appendix III-05, VI-9, Appendix VI-14, Appendix VI-16 Assignment Agreement ,   SYSTEMS ACCESS FORMS ,   Schedule of Subscribers and Ginnie Mae Guaranty Agreement ,   Schedule of Pooled Mortgages ,   ISSUER’S MONTHLY SUMMARY REPORT ,   Application for Approval Ginnie Mae Mortgage-Backed Securities Issuer ,   Resolution of Board of Directors and Certificate of Authorized Signatures ,   Cross Default Agreement ,   ACH Debit Authorization ,   ACH Debit Authorization ,   Master Agreement fore Participation Accounting ,   Letter of Transmittal ,   Letter of Transmittal ,   Commitment to Guaranty Mortgage-Backed Securities ,   Master Custodial Agreement ,   Custodian's Certification for Construction Securities ,   Letter for Loan Repurchase ,   Issuer's Monthly Remittance Advice ,   Multifamily Prepayment Penalty Record File Layout ,   Quarterly Custodial Account Verification Record File Layout ,   WHFIT Reporting ,   Quarterly Custodial Account Verification Record File Layout ,   Request for Reimbursement of Mortgage Insurance Claim Costs ,   Issuer's Monthly Remittance Advice ,   Release of Security Interest ,   Masters Agreement for Servicer's Escrow Custodial Account ,   Certification and Agreement ,   Electronic Data Interchange System Agreement ,   Certification Requirements for the Pooling of Multifamily Mature Loan Program ,   Schedule of Subscribers and Ginnie Mae Guaranty Agreement-HMBS Pooling Import File Layout ,   HMBS Issuer's Monthly Summary Report ,   Schedule of Pooled Mortgages ,   Schedule of subscribers and Ginnie Mae Guaranty Agreement ,   Application for Approval Ginnie Mae Mortgage- Backed Securities Issuser ,   Resolution of Board of Directors and Certificate of Authorized Signatures ,   Master Servicing Agreement ,   Master Servicing Agreement ,   Master Agreement for Servicer's Escrow Custodial Account ,   MASTER CUSTODIAL AGREEMENT ,   Release of Security Interest and Certification and Agreement ,   Master Agreement for Participation Accounting ,   Issuer's Monthly Serial Note Remittance Advice ,   Ginnie Mae Acknowledgement Agreement and Accompanying Documents Pledge of Servicing ,   SSCRA Loan Eligibility Information ,   Service Members Civil Relief Act Quartrely Reimbursement Requirement ,   SSCRA Eligibility and Reimbursement Files ,   Master Agreement for Service's Principal and interest Custodial Account ,   Master Atreement for Servicer's Principal and Interest Custodial Account ,   REPORTING AND FEEDBACK SYSTEM (RFS) HMBS ISSUER MONTHLY REPORT OF POOL, LOAN AND PARTICIPATION DATA ,   REPORTING AND FEEDBACK SYSTEM (RFS) ISSUER MONTHLY REPORT OF POOL AND LOAN DATA ,   REQUEST FOR RELEASE OF DOCUMENTS ,   INSTRUCTIONS FOR REQUEST OF RELEASE OF DOCUMENTS ,   Schedule of Subscribers and Ginnie Mae Guaranty Agreement ,   Schedule of Pooled Mortgages ,   REPORTING AND FEEDBACK SYSTEM (RFS) SINGLE FAMILY ISSUER MONTHLY PAYMENT DEFAULT STATUS (PDS) LOAN LEVEL REPORTING ,   ELECTRONIC SUBMISSION OF ISSUERS’ INSURANCE AND ANNUAL AUDITED FINANCIAL DOCUMENTS ,   RFS Loan Liquidation Event Reporting ,   Request for Disaster Assistance ,   REQUEST FOR PASS-THROUGH ASSISTANCE RELATED TO COVID-19 AND REPAYMENT AGREEMENT ,   REQUEST FOR PASS-THROUGH ASSISTANCE RELATED TO COVID-19 AND REPAYMENT AGREEMENT - MULTIFAMILY PROGRAM

  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 2,544,133 216,128 0 2,328,005 0 0
Annual Time Burden (Hours) 87,200 48,501 0 38,699 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
• This is a revision of a currently approved collection. • Number of Respondents: Currently there are approximately 368 Ginnie Mae approved Issuers that are actively doing business in our programs. Approximately 356 of them are managing an active portfolio. The decrease in issuers is driven by the market where consolidations or deconsolidation happen. • Explanation of change in burden hours: The most significant change comes with the change to the hourly cost per response given that three years have passed since the last submission, employee hourly wage has been recalculated to match current market standards. • Appendix VI-24 has been added to provide for reporting of liquidated loans in real time to more accuratly to fulfill our obligations to our investors in the event of a cyber attack or some other major event. • Appendix VI-20 has been added to streamline the financial documents needed by Ginnie Mae to confirm the financial soundness of issuers and therefor the risk to the US Government. • Appendix XI-01; XI-01A; XI-01B/ Request for Disaster Pass-through assistance; COVID pass through assistance (single family); COVID pass through assistance (Multi Family). These forms provide a standardized mechanism for mortgage-backed security (MBS) Issuers to request temporary liquidity assistance when facing shortfalls in principal and interest (P&I) payments due to extraordinary events, such as natural disasters or national emergencies.

$28,175,578
No
    No
    No
No
No
No
No
John Amberg 303 672-5027 [email protected]

  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.
04/15/2026