SH19-031 USFS OPERATING PLAN AND FINANCIAL PLAN

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USDA Forest Service OMB 0596-0217 FS -1500-19 12. G&A REVIEW 12. A. The authority and format of this modification (19 -LE -11061700-009-M1) have been reviewed and 12. B. DATE approved for signature by: SIGNED AMY VERELLEN ave n�� AMY Date: 202001.13 180429.WW AMY D. VERELLEN U.S. Forest Service Grants Management Specialist Burden Statement Awarding to the Paperwork Reduction Ad of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of h4ormadon unless it displays a valid OMB control number. The valid OMB control number for this Information collection is 05964)217. The time required to complete this InfomnaUon cwllecton is estimated to average 30 minutes per response, including the time for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the oollection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination In all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic Infommation, political beliefs, reprisal, or because all or part of an individuals Income Is derived from any pubic assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program Information (Braille, large print, audiotape, eta) should contact USDA's TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of disaimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877.8339 (TDD) or (866) 377642 (relay voice). USDA is an equal opportunity providerand employer.