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PART II OMB NO.80 -RO 186 <br />PROJECT APPROVAL INFORMATION <br />Item 1. <br />Does this assistance request require State, local, Name of Governing Body <br />regional, or other priority rating? Priority Rating <br />Yes X No <br />Item 2. <br />Does this assistance request require State, or local Name of Agency or <br />advisory, educational or health clearances? Board <br />Yes_ X No (Attach Documentation) <br />Item 3. <br />Does this assistance request.require clearinghouse (Attach Comments) <br />review in accordance with OMB Circular A.95? <br />Yes x No <br />Item 4. <br />Does this assistance request require State, local, Name of Approving Agency <br />regional or other planning approval? Date <br />Yes X No <br />Item 5. <br />Is the proposed project covered by an approved compre- Check one: State ❑ <br />hensive plan? Local ❑ <br />Regional ❑ <br />Yes X No Location of Plan <br />Item 6. <br />Will the assistance requested serve a Federal Name of Federal Installation <br />installation? Yes X No Federal Population benefiting from Project <br />Item 7. <br />Will the ossistancs requested be on Federal land or Name of Federal Installation <br />installation? Location of Federal Land <br />Yes Y_No Percent of Project <br />Item 8. <br />Will the assistance requested have an impact or effect See instructions for additional information to be <br />on the environment? provided. <br />Yes X No <br />Item 9. <br />Number of: <br />Will the assistance requested cause the displacement <br />Individuals <br />of individuals, families, businesses, or farms? <br />Families <br />Businesses <br />Yes X No <br />Forms <br />Item 10. <br />Is there other related assistance on this project previous, <br />See instructions for additional information to be <br />pending, or anticipated? <br />provided. <br />Yes_ No <br />