|
|
|
0560-New |
|
|
6/10/2010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
764.51(b) |
|
|
|
30 |
|
|
(Individuals & Married Applicants) 90% |
|
|
(Farmer) |
|
1807 |
0.75 |
1355 |
0.5 |
|
678 |
Lo-Doc & Regular (OMB 0560-0237) |
|
|
(Revised) |
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
60 |
|
|
LM-(Entity) 10% |
|
|
(Farmer) |
764.51(b) |
450 |
0.33 |
149 |
1 |
|
149 |
Lo-Doc & Regular (OMB 0560-0237) |
|
|
(Revised) |
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Subordinations |
|
|
(Farmer) |
765.205 (a)(1) |
224 |
0.67 |
150 |
0.5 |
|
75 |
(OMB 0560-0237) |
|
|
(Revised) |
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Jr. Lien |
|
|
(Farmer) |
765.205 (a)(1) |
16 |
1 |
16 |
0.5 |
|
8 |
(OMB 0560-0237) |
|
|
(Revised) |
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Transfer and Assumption (Farmer) |
|
|
(Farmer) |
765.403 (a)(1) |
13 |
1 |
13 |
0.5 |
|
7 |
(OMB 0560-0237) |
|
|
(Revised) |
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Transfer and Assumption (Transferee) |
|
|
(Farmer) |
765.403 (a)(1) |
13 |
1 |
13 |
0.5 |
|
7 |
(OMB 0560-0236) |
|
|
(Revised) |
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
PLS |
|
|
(Farmer) |
766.102 (a)(2) |
80 |
1 |
80 |
0.5 |
|
40 |
Lo-Doc & Regular (OMB 0560-0233) |
|
|
(Revised) |
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Shared Appreciation |
|
|
(Farmer) |
766.204 (a)(2) |
1 |
1 |
1 |
0.5 |
|
1 |
Lo-Doc & Regular (OMB 0560-0237) |
|
|
(Revised) |
|
|
|
|
|
|
|
Three Year Financial History |
|
|
FSA-2002 |
|
|
|
|
60 |
|
|
LM-New Applicants |
|
|
(Farmer) |
764.51 (b)(4) |
750 |
1 |
750 |
1 |
|
750 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Three Year Financial History |
|
|
FSA-2002 |
|
|
|
|
30 |
|
|
PLS |
|
|
(Farmer) |
766.102 (a)(3) |
80 |
1 |
80 |
0.5 |
|
40 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Three Year Production History |
|
|
FSA-2002 |
|
|
|
|
60 |
|
|
LM-New Applicants |
|
|
(Farmer) |
764.51 (b)(5) |
750 |
1 |
750 |
1 |
|
750 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Three Year Production History |
|
|
FSA-2003 |
|
|
|
|
30 |
|
|
PLS |
|
|
(Farmer) |
766.102 (a)(2) |
80 |
1 |
80 |
0.5 |
|
40 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTALS |
|
|
|
|
2604 |
|
3437 |
|
|
2543 |
|
|
|
0560-0237 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Authorization To Release Information |
|
|
FSA-2004 |
|
|
|
|
10 |
|
|
LM- Application |
|
|
(Farmer) |
764.51(b) |
750 |
1 |
750 |
0.17 |
|
125 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Creditor List |
|
|
FSA-2005 |
|
|
|
|
20 |
|
|
Loan Making |
|
|
(Farmer) |
764.51(b)(12) |
750 |
1 |
750 |
0.33 |
|
250 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Property Owned & Leased |
|
|
FSA-2006 |
764.51(b) |
|
|
|
30 |
|
|
LM- Application |
|
|
(Farmer) |
764.402 |
1500 |
1 |
1500 |
0.50 |
|
750 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Statement Requrired by Privacy Act |
|
|
FSA-2007 |
|
|
|
|
15 |
|
|
LM- Application |
|
|
(Farmer) |
764.402 |
8 |
1 |
8 |
0.25 |
|
2 |
(OMB 0560-0237) |
|
|
(Revised) |
|
|
|
|
|
|
|
Verification Of Income |
|
|
FSA-2014 |
|
|
|
|
15 |
|
|
LM- Application |
|
|
(Business) |
764.51 (b)(8 |
750 |
1 |
750 |
0.25 |
|
188 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Verification Of Debts |
|
|
FSA-2015 |
|
|
|
|
20 |
|
|
Loan Making (1.6 x 750) |
|
|
(Farmer) |
764.51 (b)(12) |
1200 |
3 |
3600 |
0.33 |
|
1200 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Promissory Note |
|
|
FSA-2026 |
|
|
|
|
20 |
|
|
(OMB 0560-0237) |
|
|
(Farmer) |
764.402 (b)(1) |
1350 |
1 |
1350 |
0.33 |
|
450 |
|
|
|
(Revised) |
|
|
|
|
|
|
|
Promissory Note |
|
|
FSA-2026 |
|
|
|
|
20 |
|
|
(OMB 0560-0237) |
|
|
(Farmer) |
764.402 (b)(2) |
150 |
1 |
150 |
0.33 |
|
50 |
|
|
|
(Revised) |
|
|
|
|
|
|
|
Promissory Note |
|
|
FSA-2026 |
|
|
|
|
20 |
|
|
(OMB-0560-0237) PLS |
|
|
(Farmer) |
764.254(b) |
49 |
1 |
49 |
0.33 |
|
16 |
|
|
|
(Revised) |
|
|
|
|
|
|
|
Supplemental payment Agreement |
|
|
FSA-2027 |
764.254(b) |
|
|
|
15 |
|
|
(OMB 0560-0237) |
|
|
(Farmer) |
|
30 |
1 |
30 |
0.25 |
|
8 |
|
|
|
(Revised) |
|
|
|
|
|
|
|
Security Agreement |
|
|
FSA-2028 |
764.255 (b) |
|
|
|
20 |
|
|
(OMB 0560-0237) |
|
|
(Farmer) |
|
150 |
1 |
150 |
0.33 |
|
50 |
|
|
|
(Revised) |
|
|
|
|
|
|
|
Security Agreement |
|
|
FSA-2028 |
764.103(b) |
|
|
|
20 |
|
|
(OMB 0560-0237) PLS |
|
|
(Farmer) |
|
49 |
1 |
49 |
0.33 |
|
16 |
|
|
|
(Revised) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTALS |
|
|
|
|
1958 |
|
9136 |
|
|
3105 |
|
|
|
0560-0237 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deed Of Trust & Mortgage |
FSA-2029-D |
|
|
|
30 |
LM- Application |
(Farmer) |
764.155 (b) |
1350 |
1 |
1350 |
0.50 |
675 |
Lo-Doc & Regular (OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Assignment of Proceeds & Consent to Pmt. |
|
|
FSA-2041 |
|
|
|
|
20 |
|
|
LM- Application |
|
|
FSA-2042 |
764.402 |
1500 |
1 |
1500 |
0.33 |
|
495 |
Lo-Doc & Regular (OMB 0560-0237) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Assignment of Proceeds & Consent to Pmt. |
|
|
FSA-2041 |
|
|
|
|
20 |
|
|
Business |
|
|
FSA-2042 |
764.402 |
500 |
3 |
1500 |
0.33 |
|
495 |
(OMB 0560-0237) |
|
|
(Business) |
|
|
|
|
|
|
|
Assignment of Income form RE Security |
|
|
FSA-2044 |
|
|
|
|
20 |
|
|
LM- Application |
|
|
(Farmer) |
764.402 |
75 |
1 |
75 |
0.33 |
|
25 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Description of Training & Experience |
|
|
FSA-2302 |
|
|
|
|
20 |
|
|
LM- Application |
|
|
(Farmer) |
764.51 (b)(3) |
1125 |
1 |
1125 |
0.33 |
|
375 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Notification of Loan Approval |
|
|
FSA-2313 |
|
|
|
|
20 |
|
|
LM- Application |
|
|
(Farmer) |
764.401 (a) |
1500 |
1 |
1500 |
0.33 |
|
495 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Agreement with Prior Lienholder |
|
|
FSA-2319 |
|
|
|
|
10 |
|
|
LM- Application |
|
|
(Farmer) |
764.104 (a)(2) |
15 |
1 |
15 |
0.17 |
|
3 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Selection of Attorney-Title Agent |
|
|
FSA-2340 |
|
|
|
|
10 |
|
|
LM- Application |
|
|
(Farmer) |
764.402 |
1350 |
1 |
1350 |
0.17 |
|
225 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Certification of Attorney-Title Agent |
|
|
FSA-2341 |
|
|
|
|
20 |
|
|
LM-Business |
|
|
FSA-2342 |
764.402 |
450 |
1 |
450 |
0.33 |
|
150 |
(OMB 0560-0237) |
|
|
(Business) |
|
|
|
|
|
|
|
Premliminary Title Opinion |
|
|
FSA-2344 |
|
|
|
|
90 |
|
|
LM-Business |
|
|
(Business) |
764.402 |
450 |
3 |
1350 |
1.50 |
|
2025 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Loan Closing Instructions |
|
|
FSA-2350 |
|
|
|
|
30 |
|
|
LM-Business |
|
|
(Business) |
764.402 |
450 |
3 |
1350 |
0.50 |
|
675 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Final Title Opinion |
|
|
FSA-2352 |
|
|
|
|
30 |
|
|
LM-Business |
|
|
(Business) |
764.402 |
450 |
3 |
1350 |
0.50 |
|
675 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Report of Lien Search |
|
|
FSA-2360 |
|
|
|
|
30 |
|
|
LM-Business |
|
|
(Business) |
764.402 |
2 |
1 |
2 |
0.50 |
|
1 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Lender Subordination Agreement |
|
|
FSA-2361 |
764.255 |
|
|
|
30 |
|
|
LM-Business |
|
|
(Business) |
|
15 |
1 |
15 |
0.50 |
|
8 |
TOTALS |
|
|
|
|
982 |
|
12932 |
|
|
6321 |
|
|
|
0560-0237 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Request For Waiver of Borrower Training |
FSA-2370 |
|
|
|
30 |
LM- Application |
(Farmer) |
764.453 |
1125 |
1 |
1125 |
0.50 |
563 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Agreement to Complete Training |
|
|
FSA-2371 |
|
|
|
|
15 |
|
|
LM- Application |
|
|
(Farmer) |
764.452 |
375 |
1 |
375 |
0.25 |
|
94 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Borrower Training Course Evaluation |
|
|
FSA-2376 |
|
|
|
|
15 |
|
|
LM-Business |
|
|
(Farmer) |
764.454 |
375 |
1 |
375 |
0.25 |
|
94 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Borrower Training Course Evaluation |
|
|
FSA-2376 |
|
|
|
|
30 |
|
|
LM-Business |
|
|
(Business) |
764.454 |
100 |
10 |
1000 |
0.50 |
|
500 |
(OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
NON-FORMS |
|
|
|
|
|
|
|
|
|
|
Copy of Entity Information |
|
|
Non Form |
|
|
|
|
15 |
|
|
LM- Application |
|
|
Written |
764.51(b)(2) |
150 |
1 |
150 |
0.25 |
|
38 |
(OMB 0560-0237) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Copy of Legal Description |
|
|
Non Form |
|
|
|
|
15 |
|
|
LM- Application |
|
|
Written |
764.51(b)(10) |
1500 |
1 |
1500 |
0.25 |
|
375 |
(OMB 0560-0237) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Additional Information |
|
|
Non Form |
|
|
|
|
15 |
|
|
LM- Application |
|
|
Written |
764.51(b)(13) |
150 |
1 |
150 |
0.25 |
|
38 |
(OMB 0560-0237) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Evidence of Hazard Insurance |
|
|
Non Form |
|
|
|
|
15 |
|
|
LM- Application |
|
|
Written |
764.108 |
338 |
1 |
338 |
0.25 |
|
85 |
(OMB 0560-0237) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Evidence of Flood Insurance |
|
|
Non Form |
|
|
|
|
15 |
|
|
LM- Application |
|
|
Written |
764.108 |
203 |
1 |
203 |
0.25 |
|
51 |
(OMB 0560-0237) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Citizenship Status Documentation |
|
|
Non Form |
|
|
|
|
15 |
|
|
LM- Application |
|
|
Written |
764.101 (c) |
10 |
1 |
10 |
0.25 |
|
3 |
(OMB 0560-0237) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Conservation Plan |
|
|
Non Form |
|
|
|
|
15 |
|
|
New |
|
|
Written |
New |
1500 |
1 |
1500 |
0.25 |
|
375 |
(OMB 0560-NEW) |
|
|
(Farmer) |
|
|
|
|
|
|
|
Transition to Organic-Sustainable |
|
|
Non Form |
|
|
|
|
15 |
|
|
New |
|
|
Written |
New |
9 |
1 |
9 |
0.25 |
|
2 |
(OMB 0560-NEW) |
|
|
(Farmer) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Travel Time |
|
|
|
|
|
|
|
|
|
3000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bold Denotes Unduplicated Respondents |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTALS |
|
|
|
|
0 |
|
6735 |
|
|
5215 |
GRAND TOTALS |
|
|
|
|
5544 |
|
32240 |
|
|
17183 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Summary-CL Direct Loan Making (0560-0237) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of Unduplicated Respondents |
|
|
5544 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reports Filed per Person |
|
|
5.8 |
|
|
|
|
|
|
|
(Col. 10 / Col. 8) (5034/505) |
|
|
|
|
|
|
|
|
|
|
Total Annual Responses |
|
|
32240 |
|
|
|
|
|
|
|
(Col. 10) |
|
|
|
|
|
|
|
|
|
|
Total Annual Burden Hours |
|
|
17183 |
|
|
|
|
|
|
|
(Col. 12) |
|
|
|
|
|
|
|
|
|
|
Average Burden per Collection |
|
|
32.0 |
Min |
|
|
|
|
|
|
(Col. 12 / Col. 10 x 60) |
|
|
|
|
|
|
|
|
|
|
Average Burden per Respondent |
|
|
3.10 |
Hrs. |
|
|
|
|
|
|
(Col. 12 / Col. 8) |
|
|
|
|
|
|
|
|
|
|
Respondents cost per Hour |
|
|
|
|
|
Farmer |
Business |
Burden Hrs |
|
|
Farmer |
|
|
$20.53 |
|
|
|
|
|
|
|
Total Hrs.-Farmer |
|
|
12,470 |
|
Page 1 |
2542 |
0 |
2542 |
|
|
Total Cost-Farmer |
|
|
$256,009 |
|
Page 2 |
2917 |
188 |
3105 |
|
|
|
|
|
|
|
Page 3 |
2293 |
4029 |
6322 |
|
|
Business |
|
|
$30.39 |
|
Page 4 |
4718 |
500 |
5218 |
|
|
Total Hrs.-Business |
|
|
4,717 |
|
|
|
|
|
|
|
Total Cost-Business |
|
|
$143,350 |
|
Total |
12470 |
4717 |
17187 |
|
|
Total Cost |
|
|
$399,359 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Annual cost to Fed. Gov't |
|
|
168000 |
|
|
|
|
|
|
|
Average Salary (GS-9-12) OPM 2010 Table |
|
|
$37.00 |
|
|
|
|
|
|
|
Hours Reviweing & Processing Collection |
|
|
6,216,000 |
|
|
|
|
|
|
|
Total Cost |
|
|
$6,216,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
FSA-2001 |
764.51 (b) |
|
30 |
(Individuals & Married Applicants) 90% |
(Farmer) |
|
1350 |
0.5 |
675 |
Lo-Doc & Regular (OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
1 |
|
|
(Entity) 10% |
|
|
(Farmer) |
|
455 |
0.33 |
150 |
1 |
|
150 |
Lo-Doc & Regular (OMB 0560-0237) |
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Subordinations |
|
|
(Farmer) |
|
224 |
0.67 |
150 |
0.5 |
|
75 |
(OMB 0560-0236) |
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Jr. Lien |
|
|
(Farmer) |
|
16 |
1 |
16 |
0.5 |
|
8 |
(OMB 0560-0236) |
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Transfer and Assumption (Farmer) |
|
|
(Farmer) |
|
13 |
1 |
13 |
0.5 |
|
7 |
(OMB 0560-0236) |
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
Transfer and Assumption (Transferee) |
|
|
(Farmer) |
|
13 |
1 |
13 |
0.5 |
|
7 |
(OMB 0560-0236) |
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
30 |
|
|
PLS |
|
|
(Farmer) |
|
80 |
1 |
80 |
0.5 |
|
40 |
Lo-Doc & Regular (OMB 0560-0236) |
|
|
|
|
|
|
|
|
|
|
Request for Loan Making Assistance |
|
|
FSA-2001 |
|
|
|
|
75 |
|
|
Sharred Appreciation |
|
|
(Farmer) |
|
1 |
1 |
1 |
1.25 |
|
1 |
Lo-Doc & Regular (OMB 0560-0236) |
|
|
|
|
|
|
|
|
|
|
Farm Operating Plan (Balance Sheet) |
|
|
FSA-2037 |
|
|
|
|
75 |
|
|
Lo-Doc & Regular |
|
|
(Farmer) |
|
1500 |
1 |
1500 |
1.25 |
|
1875 |
(OMB 0560-0238) |
|
|
|
|
|
|
|
|
|
|
Farm Operating Plan (Balance Sheet) |
|
|
FSA-2037 |
|
|
|
|
75 |
|
|
Subordinations |
|
|
(Farmer) |
|
224 |
1 |
224 |
1.25 |
|
280 |
(OMB 0560-0238) |
|
|
|
|
|
|
|
|
|
|
Farm Operating Plan (Balance Sheet) |
|
|
FSA-2037 |
|
|
|
|
75 |
|
|
PLS |
|
|
(Farmer) |
|
80 |
1 |
80 |
1.25 |
|
100 |
(OMB 0560-0238) |
|
|
|
|
|
|
|
|
|
|
Farm Operating Plan (Income/Expense) |
|
|
FSA-2038 |
|
|
|
|
75 |
|
|
Regular |
|
|
(Farmer) |
|
750 |
1 |
750 |
1.25 |
|
938 |
(OMB 0560-0238) |
|
|
|
|
|
|
|
|
|
|
Farm Operating Plan (Income/Expense) |
|
|
FSA-2038 |
|
|
|
|
75 |
|
|
Subordinations |
|
|
(Farmer) |
|
224 |
1 |
224 |
1.25 |
|
280 |
(OMB 0560-0238) |
|
|
|
|
|
|
|
|
|
|
Farm Operating Plan (Inome/Expenses) |
|
|
FSA-2038 |
|
|
|
|
75 |
|
|
PLS |
|
|
(Farmer) |
|
224 |
1 |
224 |
1.25 |
|
280 |
(OMB 0560-0238) |
|
|
|
|
|
|
|
|
|
|
TOTALS |
|
|
|
|
4852 |
|
4775 |
|
|
4715 |
|
|
|
|
|
0560-New |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTALS |
|
|
|
|
|
|
0 |
|
|
0 |