FS-1800-8 Agreement for Sponsored Voluntary Services

Volunteer Application for Natural Resource Agencies

fs_1800_8

Volunteer Application for Natural Resource Agencies

OMB: 0596-0080

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USDA Forest Service FS-1800-8 (05/2007))

OMB 0596-0080 (Expires 08/2010)


Agreement for Sponsored Voluntary Services

(Public Law 92-300, as amended)

1. Name of Sponsor (Print)

     

2. Address (Street, City State, Zip Code)

     

3. We desire to make available the volunteer services of the following person(s) to assist with Forest Service work. (If more space is needed, use reverse)

     

4. Description of work to be performed:

     

  1. The above-described work will be contributed to the Forest Service. Except as provided below, the work performed by the participants will not confer on them or on our employees, or officers, the status of Federal employees.

  1. We will provide the Forest Service with a list of participants and man-hours contributed to accomplish the work in item 4 above.

  1. We will obtain parental or guardian consent for each individual under 18 years of age and will comply with child labor laws.

8.

     

Is hereby designated to serve as our liaison with the Forest


Service in day-to-day operations under this agreement.

  1. We understand that either the Forest Service, or we, may cancel this agreement at any time by notifying the other party.

10. Remarks: (If more space is needed, use reverse)

     

Signature (Designated Liaison for Sponsored Group/Organization)

Date

ACCEPTANCE FOR THE FOREST SERVICE

The Forest Service agrees while this agreement is in effect to:

  1. Provide such materials, equipment, and facilities as are available and needed in performing the work described above.

  2. Provide necessary incidental expenses of sponsored participants to the extent such expenses cannot be borne by the sponsor, and to the extent Forest Service funds are available. The maximum Forest Service funding of such incidental expenses shall be set forth on the reverse of this form or in an accompanying plan for each fiscal year or portion of a fiscal year.

  3. Consider the participants as federal employees for the purpose of tort claims and compensation for work injuries, to the extent not covered by the sponsor.

  4. Authorize sponsored participants to operate federal motor vehicles when necessary, provided participants are licensed to operate a motor vehicle.

4. Signature


5. Title

     

6. Unit

     

7. Date

     

Forest Service reimbursement for sponsored participant’s necessary incidental expenses are as follows:

a. Subsistence

Yes

No

Amount if yes:

     

Remarks:

     

b. Transportation allowance

Yes

No

Rate if yes:

     

Remarks:

     

c. Provide lodging

Yes

No

Remarks:

     

a. Other      

Yes

No

Remarks:

     


Termination of agreement

1. Agreement Terminated on (Month, Day, Year)

     

2. Signature (Forest Service Officer)


ACCOMPLISHMENTS

Resource Category

(a)

NIRP Code

(b)

Unit of measure

(c)

Amount Accomp.

(d)

Hours Contr.

(e)

Cost to Govt.

(f)

Appraised

Value (dollars)

(g)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

3. Remarks:

     


Burden Statement

According to the Paperwork Reduction Act of 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 information collection is 0596-0080. The time required to complete this information collection is estimated to average 15 minutes 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 its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

Privacy Act Statement

Collection and use is covered by Privacy Act System of Records USDA/OP-1 and is consistent with the provisions of 5 USC 552a (Privacy Act of 1974), which authorizes acceptance of the information requested on this form. The data will be used to maintain official records of volunteers of the USDA Forest Service for the purposes of tort claims and injury compensation. Furnishing this data is voluntary, however if this form is incomplete, enrollment in the program cannot proceed.

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File Typeapplication/msword
File TitleAGREEMENT FOR INDIVIDUAL VOLUNTARY SERVICES
AuthorFSDefaultUser
Last Modified ByFSDefaultUser
File Modified2007-06-14
File Created2007-06-13

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