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 National Plant Germplasm System

Germplasm or Information Request

OMB 0518-0032-ngrl-1 (06/2009)
Privacy and Paperwork Reduction Act Statements

Instructions

  The accessions within the NPGS are available in small quantities for
  research, breeding, and education purposes.

Items with asterisks (*) are required.
First Name*:
Last Name*:

Organization*:
Address*:
Address:
Address:
City*:
State*:
Zip/Postal Code*:
Country (if not USA):

Contact information:
Phone*:
FAX:
E-Mail*:

Special instructions:

Items to order* (one item per line), please try to include all of your items in one order:

Please describe your planned research, breeding or educational uses for this NPGS germplasm.*
Non-confidential information about the results of those research, breeding, or educational efforts would be greatly appreciated. Such information is valuable for maintaining support of the NPGS's germplasm conservation and distribution program.

Click here to send a carbon-copy of your order to your email address (as specified above).


 

Availability of the System
Privacy Policy
Accessibility Statement

Privacy and Paperwork Reduction Act Statements

Privacy Act Information: This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974) for individuals completing Federal records and forms that solicit personal information. The authority is Title 5 of the U.S. Code, sections 1302, 3301, 3304, and 7201.
Purpose and Routine Uses: The information from this form is used solely to respond to you regarding the service you have requested. No other uses will be made of this information.
Effects of Non-Disclosure: Providing this information is voluntary, however, without it we may not be able to respond to you regarding the service you have requested.
Paperwork Reduction Act Statement: 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 current valid OMB control number.
Public Burden Statement: Public reporting burden for this collection of information is estimated to vary from two to four minutes with an average to three minutes per response, including time for reviewing instructions, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, OIRM, Room 404-W, Washington, D.C. 20250, and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503.


Instructions

  • Use your mouse to click inside each data entry box.
  • Type the requested information into the box.
  • Make sure you have completed entering all of the items for this request
  • Click the "Submit Request" button when finished.

Alternatively:

  • Use the tab key on your keyboard to jump to each data entry box on the form.
  • Type in the reqested information.
  • Tab to the "Submit Request" button and press the enter key when done.

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This document maintained by dbmu@ars-grin.gov

     
 
Updated 18-Jun-2013
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