Repayment of Unspent Funds by Check

OMB Control No. 0551-0035

REPAYMENT OF UNSPENT FUNDS by CHECK

(Section 416(b)/Food for Progress/McGovern-Dole)

TO: Director, Food Assistance Division

USDA/Foreign Agricultural Service

STOP 1034

1400 Independence Avenue, SW

Washington, DC 20250-1034

From:

Subject: Agreement _____________________________, Budget Number __________,

Country _______________

In accordance with the above referenced Agreement and Budget, we hereby return to USDA the unspent amount of $_____________________. This includes administrative funds in the amount of $_____________________; internal transportation, shipping and handling funds in the amount of $_____________________; interest in the amount of $_____________________; and projects/technical assistance (under McGovern-Dole only) of $________________.

If repaying under a Food for Progress or 416(b) program, please make the check payable to the Commodity Credit Corporation. If repaying under a McGovern-Dole International Food for Education program, please make the check payable to USDA’s Foreign Agricultural Service.

Also provide the following information on the check:

1. Agreement number

2. Country

3. Type of Program (Section 416(b) or Food for Progress or McGovern-Dole)

4. Type of Cost: Administrative Expense

Please mail the check to:

Director, Food Assistance Division

USDA/Foreign Agricultural Service

1400 Independence Avenue, SW, STOP 1034,

Washington, DC 20250-1034

Sincerely,

For USDA use. ____________________________________ Branch Chief Date

The public reporting burden for this information collection is estimated to be 10 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.