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INSTRUCTIONS PART II scope of the plan. Give the location where the approved plan is available for examination and state whether this Negative answers will not require an explanation unless the project is in conformance with the plan. Federal agency requests more information at a later date. Item 6 - Show the population residing or working on the Provide supplementary data for all "Ves" answers in the space provided in accordance with the following instruc. Federal installation who will benefit from this project. tions: Item 7 - Show the percentage of the project work that will Item 1 - Provide the name of the governing body establish. be conducted on federally-owned or leased land. Give the ing the priority system and ~he priority rating assigned to name of the Federal installation and its location. this project. Item 8 - Describe briefly the possible beneficial and harm- Ite" 2 - Provide the name of the agency or board which ful impact on the environment of the proposed project. If issued thO! clear<:nce and attach the documentation of status an adverse environmental impact is anticipated, explain or approval. what action will be taken to minimize the impact. Federal Item 3 - Attach the clearinghouse comments for the appli. agencies will provide separate instructions if additional data cation in accordance with the instructions contained in Of. is needed. ficn of Mam:gement and Budget Circular No. A.95. I f com. Item 9 - State the number of individuals. families, busi. ments were submitted previously with a preapplication. do nesses, or farms this project will displace. Federal agencies no'. submit them again but any additional comments reo will provide separate instructions if additional data is cej,ed from the clearinghouse should be submitted with needed. thi; application. Item 4 - Furnish the name of the approving agency and the Item 10 - Show the Federal Domestic A$Sistance Catalqg number, the program name, the type of assistance, the sta- approval date. tus and the amount of each project where there is related Item 5 - Show whether the approved comprehensive plan previous, pending or anticipated assistance. Use additional is :;tate. local or regional, or if none of these, explain the sheets, if needed. CJD-5