Laserfiche WebLink
Page 23 of 25 <br />DisclosureActof1995engagedbythereporting entityidentifiedinitem4toinfluencethecovered <br />Federal action. <br />(b) Enter the full names of the individual(s) performing services, and include full address if different from <br />10 (a). Enter Last Name, First Name, and Middle Initial (MI). <br />11.The certifying officialmustsign anddate theform, print his/her name, title,and telephone number. <br /> <br /> <br />Accordingto the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The <br />valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimatedto average 10 <br />minutes per response, including time for reviewinginstructions, searching existing data sources, gathering and maintainingthe data needed,and completing and reviewing <br />the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this <br />burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington,DC 20503. <br />EXHIBIT D