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Get USDA FS SF 425A 2011-2024

EIN Box 4b on Page 1 Page of 5. List Information below for each grant covered by this report. Use additional pages if more space is required. Federal Grant Number Recipient Account Number Cumulative Federal Cash Disbursement TOTAL Should correspond to the amount on Line 10b on Page 1 Standard Form 425A OMB Approval Number 0348-0061 Expiration Date 10/31/2011 Paperwork Burden Statement According to the Paperwork Reduction Act as amended no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. FEDERAL FINANCIAL REPORT ATTACHMENT For reporting multiple grants 1. Federal Agency and Organizational Element to Which Report is Submitted Box 1 on Page 1 3a* DUNS Number Box 4a on Page 1 2. Recipient Organization Box 3 on Page 1 4. Reporting Period End Date Box 9 on Page 1 Month Day Year 3b. The valid OMB control number for this information collection is 0348-0061. Public reporting burden for this collection of information is estimated to average thirty 30 minutes per response including time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information instructions sources needed information* Send comments regarding the burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to the Office of Management and Budget Paperwork Reduction Project 0348-0061 Washington DC 20503. FEDERAL FINANCIAL REPORT ATTACHMENT For reporting multiple grants 1. Federal Agency and Organizational Element to Which Report is Submitted Box 1 on Page 1 3a* DUNS Number Box 4a on Page 1 2. Recipient Organization Box 3 on Page 1 4. Reporting Period End Date Box 9 on Page 1 Month Day Year 3b. .

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