U.S. USDA Form usda-nrcs-per004
Form Approved - OMB No. 0578-0024
NRCS-PER-004
Exp. 03-31-2006
U.S. Department of Agriculture
Natural Resources Conservation Service
THE EARTH TEAM
Natural Resources Conservation Service Volunteer Programs
TIME AND ATTENDANCE
A. Volunteer Name
B. Location
C. Pay Period
D. Supervisor Name
C. 2. Year:
C. 1. Month:
E. Calendar
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F. Total Number Of Hours:
OMB Disclosure Statement
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 0578-0024. The time required to complete this information collection is estimated to average 1 minute
per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection information
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