Principal Point of Contact. The Forest Service and the applicant shall each establish a principal point of contact for purposes of this agreement. The Forest Service’s contact is [name, title and telephone number]. The applicant’s contact is [name, title and telephone number] This agreement is accepted subject to all terms and conditions. ___________________________________ _____________________________ [name of applicant] Date [title of applicant] ____________________________________ _____________________________ [name of authorized officer] Date [title of authorized officer] USDA, Forest Service 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 0596-0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act,16 U.S.C. 551. The time required to complete this information collection is estimated to average 8 hours 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. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (000) 000-0000 (voice and TYY) or contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (000) 000-0000. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 0000 Xxxxxxxxxxxx Xxxxxx, XX, Xxxxxxxxxx, X.X. 00000-0000; (2) fax: (000) 000-0000; or (3) email: xxxxxxx.xxxxxx@xxxx.xxx. USDA is an equal opportunity provider, employer, and lender. The Privacy Act of 1974, 5 U.S.C. 552a and the Freedom of Information Act ,5 U.S.C. 552 govern the confidentiality to be provided for information received by the Forest Service.
Appears in 1 contract
Samples: Major Cost Recovery Agreement
Principal Point of Contact. The Forest Service and the applicant shall each establish a principal point of contact for purposes of this agreement. The Forest Service’s contact is [name[name, title and telephone number]. number]. The applicant’s contact is [name[name, title and telephone number] number]. This agreement is accepted subject to all its terms and conditions. ___________________________________ _____________________________ [name of applicant] Date [title of applicant] ____________________________________ _____________________________ [name of authorized officer] Date [title of authorized officer] USDA, Forest Service 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 0596-0596- 0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act,16 Act, 16 SAMPLE U.S.C. 551. The time required to complete this information collection is estimated to average 8 hours 1 hour 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. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (000) 000-0000 (voice and TYY) or contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (000) 000-0000. Submit your completed form or letter to USDA by: :
(1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 0000 Xxxxxxxxxxxx Xxxxxx, XX, Xxxxxxxxxx, X.X. 00000-0000; (2) fax: (000) 000-0000; or (3) email: xxxxxxx.xxxxxx@xxxx.xxx. USDA is an equal opportunity provider, employer, and lender. The Privacy Act of 1974, 5 U.S.C. 552a and the Freedom of Information Act ,5 U.S.C. 552 govern the confidentiality to be provided for information received by the Forest Service.
Appears in 1 contract
Samples: Major Cost Recovery Agreement
Principal Point of Contact. The Forest Service and the applicant shall each establish a principal point of contact for purposes of this agreement. The Forest Service’s contact is [name, title and telephone number]. The applicant’s contact is [name, title and telephone number] This agreement is accepted subject to all terms and conditions. ___________________________________ _____________________________ [name of applicant] Date [title of applicant] ____________________________________ _____________________________ [name of authorized officer] Date [title of authorized officer] USDA, Forest Service According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond, respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act,16 U.S.C. 551. The time required to complete this information collection is estimated to average 8 hours 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. In accordance with Federal civil rights law and The U.S. Department of Agriculture (USDA) civil rights regulations prohibits discrimination in all its programs and policies, activities on the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on basis of race, color, national origin, religionage, disability, and where applicable, sex, gender identity (including gender expression)marital status, familial status, parental status, religion, sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance programgenetic information, political beliefs, reprisal, or reprisal because all or retaliation for prior civil rights activity, in part of an individual’s income is derived from any program or activity conducted or funded by USDA public assistance. (not Not all prohibited bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. .) Persons with disabilities who require alternative means for communication of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (000) -000-0000 (voice and TYY) or contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than EnglishTDD). To file a program discrimination complaintcomplaint of discrimination, complete the USDA Program Discrimination Complaint Formwrite USDA, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (000) 000-0000. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of AgricultureDirector, Office of the Assistant Secretary for Civil Rights, 0000 Xxxxxxxxxxxx Xxxxxx, XX, Xxxxxxxxxx, X.X. XX 00000-0000; (2) fax: 0000 or call toll free (000) 000-0000; 0000 (voice). TDD users can contact USDA through local relay or the Federal relay at (000) 000-0000 (TDD) or (3000) email: xxxxxxx.xxxxxx@xxxx.xxx000-0000 (relay voice). USDA is an equal opportunity provider, provider and employer, and lender. The Privacy Act of 1974, 1974 (5 U.S.C. 552a 552a) and the Freedom of Information Act ,(5 U.S.C. 552 552) govern the confidentiality to be provided for information received by the Forest Service.
Appears in 1 contract
Samples: Major Cost Recovery Agreement
Principal Point of Contact. The Forest Service and the applicant shall each establish a principal point of contact for purposes of this agreement. The Forest Service’s contact is [name, title and telephone number]. The applicant’s contact is [name, title and telephone number] number]. This agreement is accepted subject to all its terms and conditions. ___________________________________ _____________________________ [name of applicant] Date [title of applicant] ____________________________________ _____________________________ [name of authorized officer] Date [title of authorized officer] USDA, Forest Service 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 0596-0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act,16 U.S.C. 551. The time required to complete this information collection is estimated to average 8 hours 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. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (000) 000-0000 (voice and TYY) or contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (000) 000-0000. Submit your completed form or letter to USDA by: :
(1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 0000 Xxxxxxxxxxxx Xxxxxx, XX, Xxxxxxxxxx, X.X. 00000-0000; (2) fax: (000) 000-0000; or (3) email: xxxxxxx.xxxxxx@xxxx.xxx. USDA is an equal opportunity provider, employer, and lender. The Privacy Act of 1974, 5 U.S.C. 552a and the Freedom of Information Act ,5 U.S.C. 552 govern the confidentiality to be provided for information received by the Forest Service.
Appears in 1 contract
Samples: Major Cost Recovery Agreement
Principal Point of Contact. The Forest Service and the applicant shall each establish a principal point of contact for purposes of this agreement. The Forest Service’s contact is [name, title and telephone number]. The applicant’s contact is [name, title and telephone number] number]. This agreement is accepted subject to all its terms and conditions. ___________________________________ _____________________________ [name Name of applicant] Date [title Title of applicant] ____________________________________ _____________________________ [name Name of authorized officer] Date [title Title of authorized officer] USDA, Forest Service 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 0596-0082. Response to this collection of information is mandatory. The authority to collect the information is the Organic Administration Act,16 Act, 16 U.S.C. 551. The time required to complete this information collection is estimated to average 8 hours 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. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (000) 000-0000 (voice and TYY) or contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (000) 000-0000. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 0000 Xxxxxxxxxxxx Xxxxxx, XX, Xxxxxxxxxx, X.X. 00000-0000; (2) fax: (000) 000-0000; or (3) email: xxxxxxx.xxxxxx@xxxx.xxx. USDA is an equal opportunity provider, employer, and lender. The Privacy Act of 1974, 5 U.S.C. 552a and the Freedom of Information Act ,5 U.S.C. 552 govern the confidentiality to be provided for information received by the Forest Service.
Appears in 1 contract
Samples: Master Cost Recovery Agreement