Applicants read and sign this form to indicate the organization's intent to comply with the applicable laws, regulations and policies to which a grant is subject. (0570-0067)
None
Susan Woolard 202 720-9631 susan.woolard@usda.gov
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
105
0
0
105
0
0
Annual Time Burden (Hours)
53
0
0
53
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Yes
Miscellaneous Actions
No
The agency is requesting to use the form which will result in a program change of 52.5 (rounded to 53) burden hours.