Mod 004 - Laserfiche WebLink

Home Browse Search

l i SD.-\ hm:sl S~rvic-: 12. G&A REVIEW 12. A . The a uthority and format of this modification (I4-LE-11 061720-0 II-M-4) have been reviewed and approved for signature by: ~C'4 iJ f/~(C~ Aiv'lY !Y. VERELLEN u.s. For<!st Service GraTlls Management Spccialist 6urden Statement U"IO 0596-0217 FS-1500-19 I:!_ B DArE SIGNED I :'.f''-f(i 7 According to the PapelWork Reduction Act af 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number The valid OMB control number for this informatiolT collection is 0596~217 The time required to complete this information collection is estimated to average 30 minules per response. including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information . The U.S. Department of Agriculture (USDA) prohibits discrimination in all ils programs and activities on the bas is of race, color. national origin, age, disability. and where applicabfe, sex . marital sta tus. familial status, parental status , religion. sexua~ orientation . genetic information. political beliefs. reprisal, or because aU or part of an individuars income is dertve<l from any public assistance . (Not aU prohibite<l bases apply to all programs .) Persons with disabilities who require ai!emative means for communication of program information (Brailfe, targe print. audiotape, etc .) should contact USDA's TARGET Center at 202·720·2600 (voice and TDO). To me a complaint of discrimination. wrile USDA, Director . OffICe of Civil Rights, 1400 Independence Avenue, SW, Washington , DC 20250·9410 or call tolt free (aSS) &32-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 677-8339 (TO D) or (866) 377 -8642 (relay ~oice). USDA is an equal opportunity provider and emptlyer.