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USDA Forest Service <br />FS -7700-41 (v07/2013) <br />OMB No. 0596-0016 (exp. 07/31/2016) <br />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 <br />collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596- <br />0016. The time required to complete this information collection is estimated to have no associated burden per response, including the time for <br />reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the <br />collection of information. <br />The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, <br />gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all <br />programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, <br />etc.) should contact USDA's TARGET Center at 202-720-2600 (voice and TDD). <br />To file a discrimination complaint write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 <br />or call (800) 975-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer. <br />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 <br />information received by the Forest Service. <br />Page 8 of 8 <br />