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TANGIBLE PERSONAL PROPERTY REPORT SF- 428

TANGIBLE PERSONAL PROPERTY REPORTSF- 428 OMB Number: 4040-0018 Expiration Date: 6/30/20201. Federal Agency and Organizational Element to Which REPORT is Submitted3a. DUNSR ecipient Organization Name:Street1:Street2:City:State:ZIP / Postal Code:Country:County:Province:2. Federal Grant or Other Identifying Number Assigned byFederal Agency4. Recipient Organization (Name and complete address including zip code)3b. EIN5. Recipient Account or Identifying Number6. Attachment (Check applicable)Disposition REPORT /Request (SF-428-C)Final (Award Closeout) REPORT (SF-428-B)Annual REPORT (SF-428-A)7. Supplemental SheetYesNo8. Comments9a. Typed or Printed Name and Title of Authorized Certifying OfficialPrefix:First Name:Middle Name:Last Name:Suffix:Title:9b. Signature of Authorized Certifying Official9c.

Instructions for Tangible Personal Property Report: SF-428The estimated annual public reporting burden for the collection of information on this form and its attachments is estimated to average 1 hour per respondent, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and

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