CSREES-2101B FY 2007 Final FERS Retirment Certification of Offset and

OMB Control #: 0524-0038
Expiration Date: (04/30/2009)

UNITED STATES DEPARTMENT OF AGRICULTURE
COOPERATIVE STATE RESEARCH, EDUCATION, AND EXTENSION SERVICE
FY 2007 FINAL
CERTIFICATION OF OFFSET AND ENTITLEMENT
For FERS Retirement Formula Funds Authorized under Section 3(c) of the Smith-Lever Act
[Place]_____________________________________________________________[Date]______________
To establish eligibility for allotment of funds for the fiscal year ending September 30, 2007, under the terms and provisions of
the Smith-Lever Act, certification is hereby made that the
[Institution]______________________________guarantees the sum of _____________ or ______________;
(Requirement) (Amount Available)
that the sums guaranteed are derived from non-Federal sources listed below and are available and budgeted for expenditure for
cooperative extension work in accordance with the provisions of the Smith-Lever Act of May 8, 1914, and amendments, thereto.
SOURCES AND AMOUNTS
State Appropriation................................................................................................

$__________________

County Appropriation.............................................................................................

$__________________

Non-tax funds:
Identify:....................................................................................................

$__________________

.................................................................................................................

$__________________

Total Guaranteed Funds.........................................................................................

$__________________

It is further certified that the above reported non-Federal funds are in addition to those used in matching other Federal funds; that
if any portion of the money thus guaranteed is not received from sources shown above, the State Cooperative Extension Service
will either make up this deficiency from other non-Federal sources which may become available or report at the end of the fiscal
year 2007 an equivalent unobligated balance of Federal funds derived from appropriations under the Act above mentioned,
which will be deducted from the subsequent year allotment.
It is further certified that there has been satisfactory progress during fiscal year 2006 on the cooperative extension programs
authorized under sections 3(b) and (c) of the Smith-Lever Act; that, to the best of my knowledge, the expenditures of Federal
funds for the support of these programs were in accordance with the laws and regulations governing their use; and that nonFederal matching (offset) funds have been obligated in accordance with the requirement.

__________________________________
Director
Form CSREES-2101B (08/07)

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