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CERTIFICATION OF: <br />RANGELAND MANAGEMENT SPECIALIST CONSEnnR~^V.ATIIlON DISTRICT <br />ULIE ELLIOTT DATE YUMA COUNTY CON RVA ON DATE <br />PUBLIC BURDEN STATEMENT <br />According to the Paperwork Reduction Ad of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a <br />cellection of information unless it displays a valid OMB control number. The valid OMB control number for this information celledians is <br />0578-0013. The time required to complete this information collection is estimated to average 45/0.75 minutes per response, including the <br />time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and cempleting and reviewing <br />the collection information. <br />PRIVACY ACT <br />above statements are made in accordance with the Privacy Act of 1974 (5 U.S.C 522a). Furnishing this information is voluntary; <br />ever failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or financial assistance. <br />information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other state or <br />~.ral law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal. <br />USDA NON-DISCRIMINATION STATEMENT <br />ie U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national <br />Sin, age, disability, and where applicable, sex, marital status, family status, parental status, religion, sexual orientation, genetic <br />xmation, political beliefs, reprisal, ar because all or a part of an individual's income is derived from any public assistance program. (Not <br />prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program <br />>rmation (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a <br />nplaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, DC 20250-9410 ~ <br />I (800) 795-3272 (voice) or (202) 720.6382 (TDD). USDA is an equal opportunity provider and employer." <br />~ COLORADO .~........ .... ...,..._ <br />Thls consorva8on plan addra~as ,?~~ u19r:'s ~etls acrd ~ <br />maob the Iderrtified resour ca ;cart~a. j <br />~~~ ~~~~ <br />lie E!!ie*.t ~e• t <br />CMif1aC tanaaree*on'Plenrux, tU ~o. z,t <br />3/6/2007 Page 2 of 2 <br />