THIS
INFORMATION IS USED TO VERIFY THE PROVISIONS OF THE ORDER, 7
CFR 932.151 MAKING ANY FALSE STATEMENTS OR REPRESENTATIONS IN
ANY MATTER WITHIN THE JURISDICTION OF ANY
AGENCY OF THE
UNITED STATES, KNOWING IT TO BE FALSE, IS A VIOLATION OF TITLE
18 SECTION 1001, UNITED STATES CODE, WHICH PROVIDES FOR PENALTY
OF A FINE, OR IMPRISONMENT, OR BOTH.
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Current
Burden Statement and Non-Discrimination 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 0581-0178. 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,
age, disability, and where applicable, sex, marital status,
familial status, parental status, religion, sexual orientation,
genetic information, political beliefs, reprisal, or because
all or part of an individual’s income is derived from any
public assistance program (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 to USDA, Director,
Office of Civil Rights, 1400 Independence Avenue, S.W.,
Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or
(202) 720-6382 (TDD). USDA is an equal opportunity provider and
employer.
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