Sample Tax Certification

Food Donation Programs (Food for Progress & Section 416(b)) and McGovern-Dole International Food for Education and Child Nutrition Program

Sample Tax Certification

OMB: 0551-0035

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OMB Control No. 0551-0035


Private Voluntary Organization


100 10th Street, NW

Washington, DC 20005, U.S.A.






TO WHOM IT MAY CONCERN



This is to certify that Private Voluntary Organization (PVO) has paid all applicable social security and local payroll taxes in the program country under Agreement FCC-000-2010/000-00.



_______________________________

John Smith
President
















The public reporting burden for this information collection is estimated to be 5 minutes. This burden estimate includes time for reviewing instructions, researching existing data sources, gathering and maintaining the needed data, and completing and submitting the information. Send comments regarding the accuracy of this burden estimate and any suggestions for reducing the burden to: U.S. Department of Agriculture, Foreign Agricultural Service, Office of Capacity Building and Development, Food Assistance Division, Attn: OMB Number (0551-0035), 1400 Independence Avenue., S.W., Washington, DC 20250-1034. You are not required to respond to this collection of information unless a valid OMB control number is displayed.


File Typeapplication/msword
File TitleINTERNATIONAL PARTNERSHIP
AuthorSusan
Last Modified BySYSTEM
File Modified2017-11-16
File Created2017-11-16

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