' Value of in -kind contributions should be inch on appro- <br /> priate lines as applicable. If the action will result in a dol- <br /> lar change to an existing award, indicate only the amount of <br /> the change. For decreases, enclose the amounts in parenthe- <br /> ses. If both basic and supplemental amounts are included, <br /> show breakdown on an attached sheet. For multiple pro- <br /> gram funding, use totals and show breakdown using same <br /> categories as item 14. <br /> 15. Certification. To be signed by the authorized representative <br /> of the applicant. A copy of the governing body's authoriza- <br /> tion for you to sign this application as official representative <br /> must be on file in the applicant's office. <br /> Be sure to enter the telephone and fax number and e-mail <br /> address of the authorized representative. Also, in item 15e, <br /> please enter the month, date, and four (4) digit year (e.g., <br /> 12/12/2000) in the date signed field. <br /> Paperwork Burden Statement <br /> According to the Paperwork Reduction Act of 1995, no per- <br /> sons are required to respond to a collection of information <br /> unless such collection displays a valid OMB control number. <br /> The valid OMB control number for this information collec- <br /> tion is 1875 -0106. The time required to complete this in- <br /> formation collection' is estimated to average between 15 and <br /> 45 minutes per response, including the time to review in- <br /> structions, search existing data resources, gather the data <br /> needed, and complete and review the information collection. <br /> If you have any comments concerning the accuracy of the <br /> estimate(s) or suggestions for improving this form, please <br /> write to: U.S. Department of Education, Washington, D.C. <br /> 20202 - 4651. If you have comments or concerns regard- <br /> ing the status of your individual submission of this form <br /> write directly to: Joyce I. Mays, Application Control Cen- <br /> ter, U.S. Department of Education, 7th and D Streets, S.W. <br /> ROB -3, Room 3633, Washington, D.C. 20202 -4725 <br />