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USDA ffiO Forest Service <br />=A <br />($9 r.t. DEeARTMENToFAGRTcuLTuRE <br />FS- r 500-l 9 (vER. 05/24) <br />OMB No. 0596-0217 <br />EXI':05/31/2027 <br />12. G&A REVIEW <br />12.A. The authority and format of this modification have been revierved and approved for signature by: <br />DinilallY sisned bY MIcHAEL <br />MICHAEL GADDIS e,{oots <br />Dals: 2025.07.03 14:01:55 -07'00' <br />MICHAEL K. GADDIS (24-LE-t 1061700-080 Mod.002) <br />U.S. Forest Service Grants & Agreements Specialist <br />I2.8. DATE <br />SIGNED <br />7t3125 <br />PapeMork Reduction Act Statement <br />lndependence Avenue, SW, Roo; 404-W, Washington, D.C. 20250; and to the Oflrci of Management and Budgel Paperwork Reduction Project (OMB# 0596'0217ll,725 17th Street NW, <br />Washington, D.C. 20503. <br />program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint liling deadlines vary by program or incidont <br />available in languages othet lhan English. <br />(2) far (202) 690-7442; or (3) email: orooram.inlake(@usda.oov. <br />USDA is an equal opportunity provider, employer, and lender. <br />The privacy Act of 1924, f U.S.C. 552a and the Freedom of tnformalion Act, 5 U.S.C. 552 govem the confidentiality to be provided for infolmation receivsd by lhe Forest Service.