NRCS-PER-004 Time Sheet

Volunteer Program-Earth Team

Form NRCS-PER-004

Volunteer Program - Earth Team (State, Local, or Tribal Government)

OMB: 0578-0024

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Form Approved – OMB No. 0578-0024
NRCS-PER-004
Exp. 05-31-2009

THE EARTH TEAM
Natural Resources Conservation Service Volunteer Program
TIME AND ATTENDANCE
A. Volunteer Name:

B. Location:

C. E-Mail Address:
D. Pay Period:

E. Supervisor Name:

D. 1. Month:

D. 2. Year:

F. Calendar

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G. Total Number of Hours: ______________
OMB Disclosure 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
0578-0024. The time required to complete this information collection is estimated to average 1 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 information.

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File Typeapplication/pdf
File TitleForm Approved – OMB No
AuthorJohn.Gilman
File Modified2009-02-09
File Created2005-11-30

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