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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.
 
 Exp.
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