Form Approved - OMB No. 0578-0024
U.S. Department of Agriculture Natural Resources Conservation Service THE EARTH TEAM Natural Resources Conservation Service Volunteer Programs TIME AND ATTENDANCE
A. Volunteer Name C. Pay Period C. 1. Month: E. Calendar C. 2. Year: B. Location D. Supervisor Name
NRCS-PER-004 Exp. 03-31-2006
1 8 15 22 29
2 9 16 23 30
3 10 17 24 31
4 11 18 25
5 12 19 26
6 13 20 27
7 14 21 28
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 1