Purposes and Uses. ─ The primary purpose of the information collected is for use in the administration of the Federal Training Program (FTP) to document the nomination of trainees and completion of training. Information collected may also be provided to other agencies and to Congress upon request. This information becomes a part of the permanent employment record of participants in training programs, and should be included in the Governmentwide electronic system, (the Enterprise Human Resource Integration system (EHRI) and is subject to all of the published routine uses of that system of records. Effects and Nondisclosure ─ Providing the personal information requested is voluntary; however, failure to provide this information may result in ineligibility for participation in training programs or errors in the processing of training you have applied for or completed. Information Regarding Disclosure of your Social Security Number (SSN) Under Public Law 93-579, Section 7(b) ─ Solicitation of SSNs by the Office of Personnel Management (OPM) is authorized under provisions of the Executive Order 9397, dated November 22, 1943. Your SSN will be used primarily to give you recognition for completing the training and to accumulate Governmentwide training statistical data and information. SSNs also will be used for the selection of persons to be included in statistical studies of training management matters. The use of SSNs is necessary because of the large number of current Federal employees who have identical names and/or birth dates and whose identities can only be distinguished by their SSNs. Note: This agreement must be signed by the nominee for Government training that exceeds 80 hours (or such other designated period, less than 80 hours as prescribed by the agency) for which the Government approves payment of training costs prior to the commencement of such training. Nothing contained in this SAMPLE agreement below shall be construed as limiting the authority of an agency to waive, in whole or in part, an obligation of an employee to pay expenses incurred by the Government in connection with the training. Continued Service Agreement Employees, who are selected to training for more than a minimum period as prescribed in Title 5 USC 4108 and 5 CFR 410.309, see your supervisor for more information on the internal policies to implement a continued service agreement. Employees Agreement to Continue in Service To be completed by applicant:
Purposes and Uses. ─ The primary purpose of the information collected is to document the approval and completion of employee training within an agency. This completed training information must be electronically provided to the Governmentwide system where it will become a part of the permanent employment record and subject to all published routine uses of that system of records. Information collected may also be provided to other agencies and to Congress upon request. Effects and Nondisclosure ─ Providing the personal information requested, in paper form, is voluntary and at the agency’s discretion. However, failure to provide this information electronically to the Governmentwide system may result in errors in processing and documenting the training you have completed. Information Regarding Disclosure of your Social Security Number (SSN) Under Public Law 93-579, Section 7(b) ─ Solicitation of SSNs by the U.S. Office of Personnel Management (OPM) is authorized under provisions of the Executive Order 9397, dated November 22, 1943. However, agencies must also safeguard such Personally Identifiable Information (PII) when providing completed training information to the Governmentwide system. Employee SSNs will be used primarily to give proper recognition for completed training and to accumulate Governmentwide statistical data and information. Agency Training Electronic Reporting Instructions General Instructions:
Purposes and Uses. The purpose of the information requested on this document and any supporting documents is to facilitate the review, approval, accounting, and reimbursement of funds for the expense of student attendance at the National Emergency Training Center, the Mount Weather Emergency Operations Center, the Noble Training Facility, or selected off-campus locations.
Purposes and Uses. The principal purpose of the Personnel Exchange Agreement is to formally document the temporary assignment of an employee between a District government agency and another organization. The Personnel Exchange Agreement also establishes the legal basis for personnel and financial transactions which facilitate these temporary assignments. In addition, the Personnel Exchange Agreement provides statistical data on mobility program activities which may be furnished (without the employee’s personal identification) to federal agencies, Congress, or other interested parties or individuals under the Freedom of Information Act. The personal information required to complete a Personnel Exchange Agreement under D.C. Official Code § 1-627.01 et. seq. is furnished voluntarily. The only consequence of not providing the requested information is the self-elimination by the individual for consideration for such an assignment.
Purposes and Uses. The purpose of the information requested on this document and any supporting documents is to facilitate the review, approval, accounting, and reimbursement of funds for the expense of student attendance at the National Emergency Training Center (NETC), the Mount Weather Emergency Assistance Center (MWEAC), or selected off campus locations. Effects of Nondisclosure: Submission of the information is voluntrary; howerver, failure to provide the requested information may result in a delay in processing the reimbursement claim. STUDENT'S NAME (Last, first, middle) ACCOUNT TO WHICH REIMBURSEMENT WILL BE DEPOSITED: Financial Insititution Name: Routing #: Account Title: Account #: Checking Savings BUSINESS ADDRESS (Include area code) MAILING ADDRESS A student stipend agreement was approved for the above named individual in the amount of $ . Actual verified travel cost have exceeded the original stipend payment. This amendment provides a stipend supplement for total actual travel cost. All other provisions of the original stipend contract remain the same. STUDENT CERTIFICATION I certify that the round- trip costs from my home to NETC, MEWAC, or other off campus locations exceeded my original travel stipend by $ , and I request reimbursement of that amount. Attached is doucmentary proof of the actual expense. I understand that I must file for reimbursement within 60 days of start of course or my claim will be deined. STUDENT'S SIGNATURE DATE DO NOT WRITE BELOW THIS LINE - FOR OFFICIAL USE ONLY ACCOUNTING INFORMATION: Initial Stipend: Obligated This Agreement: Total Obligation: $ $ $ APPROVAL RECOMMENDED Signature NOT RECOMMENDED Date APPROVED Signature DISAPPROVED Date FEMA Form 75-3A, JUL 07 PREVIOUS EDITION OBSOLETE
Purposes and Uses. The information being collected to allow the park manager to make a value judgment on whether or not to allow the requested use. Information from the application may be transferred to appropriate Federal, State, and local agencies, when relevant to civil, criminal or regulatory investigations or prosecutions. Effects of Nondisclosure: It is in your best interest to answer all of the questions. The U.S. Criminal Code, Title 18 U.S.C. 1001, provides that knowingly falsifying or concealing a material fact is a felony that may result in fines of up to $10,000 or 5 years in prison, or both. Deliberately and materially making false or fraudulent statements on this form will be grounds for not granting you a Special Use Permit Information Regarding Disclosure of Your Social Security Number Under Public Law 93-579 Section 7(b): Your Social Security Number (SSN) is needed to identify records unique to you. Applicants are required to provide their social security or taxpayer identification number for activities subject to collection of fees and charges by the National Park Service (31 U.S.C. 7701). Although disclosure of your SSN is not mandatory, failure to disclose your SSN may prevent or delay the processing of your application. The authority for soliciting and verifying your SSN is Executive Order 9397. The information gathered through the use of the SSN will be used only as necessary for processing this application and will be carried out in accordance with established regulations and published notices of system of records. Paperwork Reduction Act Statement We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) to provide the park managers the information needed to decide whether or not to allow the requested use. All applicable parts of the form must be completed in order for your request to be considered. You are not required to respond to this or any other Federal agency-sponsored information collection unless it displays a currently valid OMB control number. Estimated Burden Statement Public reporting burden for this form is estimated to average 30 minutes per response including the time it takes to read, gather and maintain data, review instructions and complete the form. Direct comments regarding this burden estimate, or any aspects of this form, to the Information Collection Clearance Officer, National Park Service, 12201 Sunrise Valley Drive, Mail Stop 242, Xxxxxx, XX 00000. Please do not send your form to this addres...
Purposes and Uses. The proceeds of the Loan shall be used for the sole purpose of pre-funding costs and expenses, including salary and labor for the Pre- Employment Transition Services (“PETS”) program provided by Borrower and offered in Xxxxxxx County which provides services to Xxxxxxx County students. Borrower is the recipient of a grant for the PETS program however the grant reimburses costs and expenses and the Loan is necessary for the Borrower to cover up-front costs and expenses later reimbursed by the grant.
Purposes and Uses. The purpose of the information requested on this document and any supporting documents is to facilitate the review, approval, accounting, and reimbursement of funds for the expense of student attendance at the National Emergency Training Center, the Mount Weather Emergency Operations Center, the Noble Training Facility, or selected off-campus locations. EFFECTS OF NONDISCLOSURE: Submission of the information is mandatory. Failure to provide the requested information may result in a delay in processing the reimbursement claim. INFORMATION REGARDING THE USE OF YOUR SOCIAL SECURITY NUMBER UNDER PL 93-579, SECTION 7(b) consistent with PL 104-134: E.O. 9397 authorizes the collection of the SSN. The SSN is required if you are seeking reimbursement under the Student Stipend Program. All payments made by the Federal Government require the SSN of the requestor. Failure to provide your SSN will result in your stipend request being denied. NAME (Last, First, Middle) ACCOUNT TO WHICH REIMBURSEMENT WILL BE DEPOSITED: Financial institution Name: Routing #: Account Title: Account #: Checking Savings SOCIAL SECIRUTY NUMBER BUSINESS PHONE (Include area code) MAILING ADDRESS No Stipend Requested I understand that the stipend for which I am applying is a portion of the Federal Government's share of the expense of attending a course offered by the National Fire Academy (NFA) or the Emergency Management Institute (EMI). I have read and understand the reimbursement limits as explained in my acceptance material. If, due to my own fault, I fail to successfully complete the course in which I am enrolled, the Superintendent may deny reimbursement after consideration of relevant evidence. Appeal of the Superintendent's decision may be made by filing a written request with the Director, NETC Management, Operations and Support Services, 00000 X. Xxxxx Avenue, Emmitsburg, MD 21727, within 10 working days of receipt of the Superintendent's initial decision. His decision is final. I understand that, under the terms of this agreement, I will not receive any of the rights, benefits, and privileges of a Federal employee. It is further understood that my presence on Government property will be in accordance with Federal laws that govern such property. I understand that FEMA is limited by law to the portion of student expenses for attendance which they may reimburse and that I may be required to pay a portion of this expense. I understand that this reimbursement will be electronically deposit...
Purposes and Uses. The privileges of Licensee under this License with regard to the Licensed Premises shall be for the following and no other purposes and uses (the “Permitted Uses”): Agriculture, as further defined in the Management Plan which is incorporated into this License as Exhibit D. (Attach Management Plan, marked as Exhibit D.)
