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OMB 0518-0032 (06/2009)
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Note: Asterisk indicates a required field. Providing the optional information may enable us to respond more efficiently.
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If you provide your e-mail address we will send you a confirmation copy of the FOIA Request.
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Specific Description
Please provide us with a specific description of the information you are requesting.
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Name of agency where the records are maintained (if known):
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Name of person or location where the records are maintained (if known:)
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Time Period For Requested Records
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* Requester Type
To determine your status in assessing any applicable fees, please select one of the following types of category of requesters:
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No fee will be charged if the amount is less than $25
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According to the Paperwork Reduction Act of 1995, an agency cannot conduct or sponsor,
and a person is not required to collection of information unless it displays a
valid OMB control number. The valid OMB control number for this information collection is 0518-0032.
The time required to complete this information is estimated to vary from one to five minutes with an
average of three minutes per response, including time for reviewing instructions, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden,
to Department of Agriculture, Clearance Officer, OIRM, Room 404-W, Washington, DC 20250,
and to the Office of Information and Regulatory Affairs, Office of Management and Budget.
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