Change Justification

Change Justification - OMB Control No. 0505-0025_1.4.23.docx

Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees

Change Justification

OMB: 0505-0025

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January 4, 2023

This change request is being submitted to correct language reflected in the following Privacy Act data collection form; the changes are reflected below:


AD-3030 - Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants 

  • Old language: “USDA is an equal opportunity provider, employer and lender..

  • New language: “USDA is an equal opportunity provider, employer and lender.

  • New language: (REV 12/22)









File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBrown, Ruth - OCIO
File Modified0000-00-00
File Created2023-08-23

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