37770 Federal Register / Vol. 74, No. 144 / Wednesday, July 29, 2009 / Notices 

markets. The TARP includes several 

components including the Capital 

Assistance Program (CAP) under which 

the Department may purchase 

qualifying capital in U.S. banking 

organizations. The Treasury, through 

Federal banking agencies, is seeking 

applicant information for financial 

institutions that seek participation in 

the CAP. Treasury is seeking 

information from financial institutions 

which include bank holding companies, 

financial holding companies, insured 

depository institutions and savings and 

loan holding companies that engage 

solely or predominately in activities that 

are permissible for financial holding 

companies under relevant law. To 

qualify, the applicant must be 

established and operating in the United 

States and may not be controlled by a 

foreign bank or company. 

Respondents: Businesses and other 

for-profit institutions. 

Estimated Total Reporting Burden: 

200 hours. 

OMB Number: 1505–0215. 

Type of Review: Extension. 

Title: Legacy Systems Public-Private 

Investment Fund Application. 

Description: Authorized under the 

Emergency Economic Stabilization Act 

(EESA) of 2008 (Pub. L. 110–343), the 

Department of the Treasury is 

implementing several aspects of the 

Troubled Asset Relief Program. The 

statute provides the Secretary broad 

authority to purchase and insure 

mortgage assets, and to purchase any 

other financial instrument that the 

Secretary, in consultation with the 

Federal Reserve Chairman, determines 

necessary to stabilize our financial 

markets. The TARP includes several 

components including a voluntary 

Legacy Securities Public Private 

Investment Fund (PPIF). Under this 

plan the Treasury will contribute equity 

funding equal to or less than the private 

capital raised by private investors. In 

addition Treasury will consider requests 

for loans from Treasury in amounts of 

up to 100% of the total equity capital 

(Treasury plus private) of a Legacy 

Security PPIF. The Treasury is seeking 

applicant information for financial 

institutions that seek participation in 

the Legacy Securities PPIF. 

Respondents: Businesses and other 

for-profit institutions. 

Estimated Total Reporting Burden: 

1,200 hours. 

Clearance Officer: Suzanne Tosini, 

(202) 927–9627, 1801 L St, NW., Room 

8219, Washington, DC 20036. 

Robert Dahl, 

Treasury PRA Clearance Officer. 

[FR Doc. E9–18111 Filed 7–28–09; 8:45 am] 

BILLING CODE 4810–25–P 

DEPARTMENT OF THE TREASURY 

Submission for OMB Review; 

Comment Request 

July 23, 2009. 

The Department of Treasury will 

submit the following public information 

collection requirement(s) to OMB for 

review and clearance under the 

Paperwork Reduction Act of 1995, 

Public Law 104–13 on or after the date 

of publication of this notice. Copies of 

the submission(s) may be obtained by 

calling the Treasury Bureau Clearance 

Officer listed. Comments regarding this 

information collection should be 

addressed to the OMB reviewer listed 

and to the Treasury Department 

Clearance Officer, Department of the 

Treasury, Room 11020, 1750 

Pennsylvania Avenue, NW., 

Washington, DC 20220. 

DATES: Written comments should be 

received on or before August 28, 2009 

to be assured of consideration. 

Office of Financial Stability (OFS) 

OMB Number: 1505–0210. 

Type of Review: Extension. 

Title: Troubled Assets Relief Program 

(TARP) Capital Purchase Program (CPP) 

Monthly Survey. 

Description: Authorized under the 

Emergency Economic Stabilization Act 

(EESA) of 2008 (Pub. L. 110–343), the 

Department of the Treasury has 

implemented several aspects of the 

Troubled Asset Relief Program. Among 

these components is a voluntary Capital 

Purchase Program (CPP) under which 

the Department may purchase 

qualifying capital in U.S. banking 

organizations. The Treasury invested 

capital through this program in over 250 

financial institutions. As part of this 

program, Treasury would like to track 

how the capital is being used, and 

whether these capital injections are 

having the desired effect of ensuring 

liquidity within the banking system and 

thereby increasing lending activity. The 

Treasury will be conducting evaluations 

using quarterly Call Report data 

supplied by these financial institutions 

to their primary regulator. However, in 

order to have a more frequent and 

timely snapshot of the current lending 

environment, Treasury is requesting the 

ability to conduct a monthly survey of 

the 20 largest institutions by loans 

outstanding in order to supplement the 

quarterly analysis. 

Respondents: Businesses and other 

for-profit institutions. 

Estimated Total Reporting Burden: 

200 hours. 

Clearance Officer: Suzanne Tosini, 

(202) 927–9627, 1801 L St, NW., Room 

8219, Washington, DC 20036. 

OMB Reviewer: OIRA Desk Officer, 

Office of Management and Budget, 

Room 10235, New Executive Office 

Building, Washington, DC 20503, 

oira_submission@omb.eop.gov. 

Robert Dahl, 

Treasury PRA Clearance Officer. 

[FR Doc. E9–18112 Filed 7–28–09; 8:45 am] 

BILLING CODE 4810–25–P 

DEPARTMENT OF THE TREASURY 

Alcohol and Tobacco Tax and Trade 

Bureau 

Proposed Information Collections; 

Comment Request 

AGENCY: Alcohol and Tobacco Tax and 

Trade Bureau, Treasury. 

ACTION: Notice and request for 

comments. 

SUMMARY: As part of our continuing 

effort to reduce paperwork and 

respondent burden, and as required by 

the Paperwork Reduction Act of 1995, 

we invite comments on the proposed or 

continuing information collections 

listed below in this notice. 

DATES: We must receive your written 

comments on or before September 28, 

2009. 

ADDRESSES: You may send comments to 

Mary A. Wood, Alcohol and Tobacco 

Tax and Trade Bureau, at any of these 

addresses: 

• P.O. Box 14412, Washington, DC 

20044–4412; 

• 202–927–8525 (facsimile); or 

• formcomments@ttb.gov (e-mail). 

Please send separate comments for 

each specific information collection 

listed below. You must reference the 

information collection’s title, form or 

recordkeeping requirement number, and 

OMB number (if any) in your comment. 

If you submit your comment via 

facsimile, send no more than five 8.5 x 

11 inch pages in order to ensure 

electronic access to our equipment. 

FOR FURTHER INFORMATION CONTACT: To 

obtain additional information, copies of 

the information collection and its 

instructions, or copies of any comments 

received, contact Mary A. Wood, 

mstockstill on DSKH9S0YB1PROD with NOTICES

Federal Register / Vol. 74, No. 144 / Wednesday, July 29, 2009 / Notices 37771 

Alcohol and Tobacco Tax and Trade 

Bureau, P.O. Box 14412, Washington, 

DC 20044–4412; or telephone 202–453– 

2265. 

SUPPLEMENTARY INFORMATION: 

Request for Comments 

The Department of the Treasury and 

its Alcohol and Tobacco Tax and Trade 

Bureau (TTB), as part of their 

continuing effort to reduce paperwork 

and respondent burden, invite the 

general public and other Federal 

agencies to comment on the proposed or 

continuing information collections 

listed below in this notice, as required 

by the Paperwork Reduction Act of 1995 

(44 U.S.C. 3501 et seq.). 

Comments submitted in response to 

this notice will be included or 

summarized in our request for Office of 

Management and Budget (OMB) 

approval of the relevant information 

collection. All comments are part of the 

public record and subject to disclosure. 

Please not do include any confidential 

or inappropriate material in your 

comments. 

We invite comments on: (a) Whether 

this information collection is necessary 

for the proper performance of the 

agency’s functions, including whether 

the information has practical utility; (b) 

the accuracy of the agency’s estimate of 

the information collection’s burden; (c) 

ways to enhance the quality, utility, and 

clarity of the information collected; (d) 

ways to minimize the information 

collection’s burden on respondents, 

including through the use of automated 

collection techniques or other forms of 

information technology; and (e) 

estimates of capital or start-up costs and 

costs of operation, maintenance, and 

purchase of services to provide the 

requested information. 

Information Collections Open for 

Comment 

Currently, we are seeking comments 

on the following forms and 

recordkeeping requirements: 

Title: Formula and/or Process for 

Article Made With Specially Denatured 

Spirits. 

OMB Number: 1513–0011. 

TTB Form Number: 5150.19. 

Abstract: TTB F 5150.19 is completed 

by persons who use specially denatured 

spirits in the manufacture of certain 

articles. TTB uses the information 

provided on the form to ensure the 

manufacturing formulas and processes 

conform to the requirement of 26 U.S.C. 

5273. 

Current Actions: We are submitting 

this information collection as a revision. 

We are making minor revisions to this 

form (such as renaming items and 

eliminating the need for a serial 

number). These revisions will make the 

form clearer and easier for the preparer 

to complete. These revisions will not 

affect the estimated number of 

respondents or burden hours. The 

estimated total annual burden hours and 

number of respondents remain 

unchanged. 

Type of Review: Revision of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

2,683. 

Estimated Total Annual Burden 

Hours: 2,415. 

Title: User’s Report of Denatured 

Spirits. 

OMB Number: 1513–0012. 

TTB Form Numbers: 5150.18. 

Abstract: Submitted annually by 

holders of permits to use specially 

denatured spirits, TTB F 5150.18 

summarizes the permittee’s 

manufacturing activities during the 

preceding year. The information is used 

by TTB to pinpoint unusual activities 

that could indicate a threat to the 

Federal revenue or possible dangers to 

the public. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. The information 

collection, estimated number of 

respondents, and estimated total annual 

burden hours remain unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

2,765. 

Estimated Total Annual Burden 

Hours: 830. 

Title: Power of Attorney. 

OMB Number: 1513–0014. 

TTB Form Number: 5000.8. 

Abstract: TTB F 5000.8 delegates the 

authority to a specific individual to sign 

documents on behalf of an applicant or 

a principal. 26 U.S.C. 6061 authorizes 

our regulations requiring that an 

individual signing returns, statements, 

or other required documents filed by 

industry members under the provisions 

of the Internal Revenue Code (IRC) or 

the Federal Alcohol Administration 

(FAA) Act have that signature authority 

on file with TTB. 

Current Actions: We are submitting 

this information collection as a revision. 

We are making changes to this 

information collection, however, the 

estimated number of respondents and 

estimated total annual burden hours 

remain unchanged. 

Type of Review: Revision of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

5,000. 

Estimated Total Annual Burden 

Hours: 3,333. 

Title: Certification of Tax 

Determination—Wine. 

OMB Number: 1513–0029. 

TTB Form Number: 5120.20. 

Abstract: Wine that has been 

manufactured, produced, bottled, or 

packaged in bulk containers in the U.S. 

and then exported is eligible for a 

drawback (refund) of the excise tax paid 

on that wine. TTB F 5120.20 supports 

the exporter’s claim for drawback, as the 

producing winery verifies that the wine 

being exported was in fact exported. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. We are making minor 

corrections to this information 

collection; however, no substantive 

revisions are being made to the 

information being collected on this form 

or the format. Also, the estimated 

number of respondents and estimated 

total annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

1,000. 

Estimated Total Annual Burden 

Hours: 500. 

Title: Application for Transfer of 

Spirits and/or Denatured Spirits in 

Bond. 

OMB Number: 1513–0038. 

TTB Form Number: 5100.16. 

Abstract: TTB F 5100.16 is completed 

by distilled spirits plant proprietors 

who wish to receive spirits in bond from 

other distilled spirits plants. TTB uses 

the information to determine if the 

applicant has sufficient bond coverage 

for the additional tax liability assumed 

when spirits are transferred in bond. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. We are making a minor 

correction to this information collection; 

however, no substantive revisions are 

being made to the information being 

collected on this form or the format. 

Also, the estimated number of 

respondents and estimated total annual 

burden hours remain unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

250. 

Estimated Total Annual Burden 

Hours: 300. 

mstockstill on DSKH9S0YB1PROD with NOTICES

37772 Federal Register / Vol. 74, No. 144 / Wednesday, July 29, 2009 / Notices 

Title: Distilled Spirits Plants 

Warehousing Record, and Monthly 

Report of Storage Operations. 

OMB Number: 1513–0039. 

TTB Recordkeeping Number: 5110/02. 

TTB Form Number: 5110.11. 

Abstract: TTB uses this information 

collection to account for a proprietor’s 

tax liability, adequacy of bond coverage, 

and to protect the revenue. The 

information also provides data to 

analyze trends, audit operations, 

monitor industry activities and 

compliance in order to provide for 

efficient allocation of field personnel, 

and to provide for economic analysis. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business and other 

for-profit. 

Estimated Number of Respondents: 

230. 

Estimated Total Annual Burden 

Hours: 5,520. 

Title: Distilled Spirits Plants—Excise 

Taxes. 

OMB Number: 1513–0045. 

TTB Recordkeeping Number: 5110/06. 

Abstract: The collection of 

information is necessary to account for 

and verify taxable removals of distilled 

spirits. The data is used to audit tax 

payments. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business and other 

for-profit. 

Estimated Number of Respondents: 

133. 

Estimated Total Annual Burden 

Hours: 3,458. 

Title: Formula for Distilled Spirits 

under the Federal Alcohol 

Administration Act. 

OMB Number: 1513–0046. 

TTB Form Number: 5110.38. 

Abstract: TTB F 5110.38 is used to 

determine the classification of distilled 

spirits for labeling and for consumer 

protection purposes. The form describes 

the person filing, type of product to be 

made, and restrictions to the label and/ 

or manufacturing process. The form is 

used by TTB to ensure that a product is 

made and labeled properly, and to audit 

distilled spirits operations. Records are 

kept indefinitely for this information 

collection. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business and other 

for-profit. 

Estimated Number of Respondents: 

200. 

Estimated Total Annual Burden 

Hours: 4,000. 

Title: Distilled Spirits Plant (DSP) 

Denaturation Records, and Monthly 

Report of Processing (Denaturing) 

Operations. 

OMB Number: 1513–0049. 

TTB Recordkeeping Number: 5110/04. 

TTB Form Number: 5110.43. 

Abstract: This information collection 

is necessary to account for and verify 

the denaturation of distilled spirits. It is 

used to audit plant operations, monitor 

the industry for the efficient allocation 

of personnel resources, and compile 

statistics for government economic 

planning. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business and other 

for-profit. 

Estimated Number of Respondents: 

98. 

Estimated Total Annual Burden 

Hours: 1,176. 

Title: Distilled Spirits Plants— 

Transaction and Supporting Records. 

OMB Number: 1513–0056. 

TTB Recordkeeping Number: 5110/5. 

Abstract: Transaction records provide 

the source data for accounts of distilled 

spirits in all DSP operations. They are 

used by TTB to verify those accounts 

and consequent tax liabilities. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

278. 

Estimated Total Annual Burden 

Hours: 6,060. 

Titles: Application for Permit to 

Manufacture Tobacco Products or 

Processed Tobacco or to Operate an 

Export Warehouse; 

Application for Amended Permit to 

Manufacture Tobacco Products or 

Processed Tobacco or to Operate an 

Export Warehouse; 

Application for Permit to Import 

Tobacco Products or Processed Tobacco; 

and 

Application for Amended Permit to 

Import Tobacco Products or Processed 

Tobacco. 

OMB Number: 1513–0078. 

TTB Form Numbers: 5200.6, 5200.16, 

5230.4, and 5230.5, respectively. 

Abstract: These forms are used by 

tobacco industry members to obtain and 

amend permits necessary to engage in 

business as a manufacturer or importer 

of tobacco products or processed 

tobacco, or as an export warehouse 

proprietor. 

Current Actions: We are submitting 

this information collection for an 

extension of the 6-month approval. The 

forms, estimated number of 

respondents, and estimated total annual 

burden hours remain unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit; State, local, and tribal 

Government. 

Estimated Number of Respondents: 

1,518. 

Estimated Total Annual Burden 

Hours: 2,277. 

Title: Equipment and Structures. 

OMB Number: 1513–0080. 

TTB Recordkeeping Number: 5110/12. 

Abstract: Marks, signs, and 

calibrations are necessary on equipment 

and structures at a distilled spirits plant 

in order to identify the plant’s major 

equipment and to accurately determine 

the plant’s contents. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

281. 

Estimated Total Annual Burden 

Hours: One (1). 

Title: Registration and Records of 

Vinegar Vaporizing Plants. 

OMB Number: 1513–0081. 

TTB Recordkeeping Number: 5110/9. 

mstockstill on DSKH9S0YB1PROD with NOTICES

Federal Register / Vol. 74, No. 144 / Wednesday, July 29, 2009 / Notices 37773 

Abstract: Data is necessary to identify 

persons producing and using distilled 

spirits in the manufacture of vinegar 

and to account for spirits so produced 

and used. These records would be 

maintained in the normal course of 

operations. The record retention 

requirement for this information 

collection is 3 years. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

One (1). 

Estimated Total Annual Burden 

Hours: One (1). 

Title: Alternative Methods or 

Procedures and Emergency Variations 

from Requirements for Exports of 

Liquors. 

OMB Number: 1513–0082. 

TTB Recordkeeping Number: 5170/7. 

Abstract: When an exporter seeks to 

use an alternate method or procedure or 

seeks an emergency variation from the 

regulatory requirements of 27 CFR part 

28, such exporter requests a variance by 

letter, following the procedure in 27 

CFR 28.20. TTB uses the provided 

information to determine if the 

requested variance is allowed by statute 

and does not jeopardize the revenue. 

The applicant is informed of the 

approval or disapproval of the request. 

TTB also uses the information to 

analyze what changes should be made 

to existing regulations. Records must be 

maintained only while the applicant is 

using the authorization. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business and other 

for-profit. 

Estimated Number of Respondents: 

500. 

Estimated Total Annual Burden 

Hours: 200. 

Title: Labeling of Sulfites in Alcoholic 

Beverages. 

OMB Number: 1513–0084. 

TTB Form/Recordkeeping Number: 

None. 

Abstract: As mandated by law, and in 

accordance with our consumer 

protection responsibilities, TTB requires 

label disclosure statements on all 

alcoholic beverage products released 

from U.S. bottling premises or customs 

custody that contain 10 parts per 

million or more of sulfites. Sulfating 

agents have been shown to produce 

allergic-type responses in humans, 

particularly asthmatics, and the 

presence of these ingredients in alcohol 

beverages may have serious health 

implications for those who are 

intolerant of sulfites. Disclosure of 

sulfites on labels of alcohol beverages 

will minimize their exposure to these 

ingredients. 

Current Actions: We are submitting 

this information collection for extension 

purposes only. This information 

collection, the estimated number of 

respondents, and the estimated total 

annual burden hours remain 

unchanged. 

Type of Review: Extension of a 

currently approved collection. 

Affected Public: Business or other forprofit. 

Estimated Number of Respondents: 

4,787. 

Estimated Total Annual Burden 

Hours: 3,159. 

Dated: July 23, 2009. 

Francis W. Foote, 

Director, Regulations and Rulings Division. 

[FR Doc. E9–17922 Filed 7–28–09; 8:45 am] 

BILLING CODE 4810–31–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0227] 

Proposed Information Collection 

(Nutrition and Food Services Survey); 

Comment Request 

AGENCY: Veterans Health 

Administration, Department of Veterans 

Affairs. 

ACTION: Notice. 

SUMMARY: The Veterans Health 

Administration (VHA) is announcing an 

opportunity for public comment on the 

proposed collection of certain 

information by the agency. Under the 

Paperwork Reduction Act (PRA) of 

1995, Federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

revision to currently approved 

collection, and allow 60 days for public 

comment in response to the notice. This 

notice solicits comments on information 

needed to determine patients’ 

satisfaction with the quality of food and 

nutrition services. 

DATES: Written comments and 

recommendations on the proposed 

collection of information should be 

received on or before September 28, 

2009. 

ADDRESSES: Submit written comments 

on the collection of information through 

the Federal Docket Management System 

(FDMS) at http://www.Regulations.gov; 

or to Mary Stout, Veterans Health 

Administration (193E1), Department of 

Veterans Affairs, 810 Vermont Avenue, 

NW., Washington, DC 20420 or e-mail: 

mary.stout@va.gov. Please refer to 

‘‘OMB Control No. 2900–0227’’ in any 

correspondence. During the comment 

period, comments may be viewed online 

through FDMS. 

FOR FURTHER INFORMATION CONTACT: 

Mary Stout at (202) 461–5867 or FAX 

(202) 273–9381. 

SUPPLEMENTARY INFORMATION: Under the 

PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 

3501–3521), Federal agencies must 

obtain approval from OMB for each 

collection of information they conduct 

or sponsor. This request for comment is 

being made pursuant to Section 

3506(c)(2)(A) of the PRA. 

With respect to the following 

collection of information, VHA invites 

comments on: (1) Whether the proposed 

collection of information is necessary 

for the proper performance of VHA’s 

functions, including whether the 

information will have practical utility; 

(2) the accuracy of VHA’s estimate of 

the burden of the proposed collection of 

information; (3) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (4) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

the use of other forms of information 

technology. 

Title: Customer Satisfaction Survey 

for Nutritional and Food Service. 

OMB Control Number: 2900–0227. 

Type of Review: Revision of a 

currently approved collection. 

Abstract: VA will use the data 

collected to determine the level of 

patient satisfaction and quality of 

service resulting from advanced food 

preparation and advanced food delivery 

systems. Meals are an integral part of a 

patient’s therapy. VA Form 10–5387 

will be used to collect and evaluate 

information needed to determine 

whether improvements are needed to 

enhance patient’s nutritional therapy. 

Affected Public: Individuals or 

households. 

Estimated Annual Burden: 4,187. 

Estimated Average Burden per 

Respondent: 2 minutes. 

mstockstill on DSKH9S0YB1PROD with NOTICES