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Public Burden Statement: In accordance with Paperwork Reduction Act (5 CFR 1320.8 (b)(3),
a Federal agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number. Respondents
must be informed (on the reporting instrument, in instructions, or in a cover letter) the
reasons for which the information will be collected; the way the information will be used to
further the proper performance of the functions of the agency; whether responses to the collection
of the information are voluntary, required to obtain a benefit (citing authority), or mandatory
(citing authority); and the nature and extent of confidentiality to be provided, if any
(citing authority). Public reporting burden for this collection of information is estimated to
average 20 minutes per response, including time for reviewing instructions, searching existing
data sources, gathering and maintaining the necessary data, and completing and reviewing the
collection information. Send comments regarding the burden estimate or any other aspect of this
collection of information to the IHS PRA Information Collection Clearance Staff, 801 Thompson Ave.,
Suite 450, Rockville, MD 20852.