| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||||
| National Animal Identification System -- Information Requirements for Participants | 0579-0259 | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| November 1, 2008 | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ||||||||||||||||||
| REPORTS | RECORDS | |||||||||||||||||
| TOTAL | ||||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||
| REGS. | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| RESPONDENT | KEEPER | |||||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||||
| N/A | Premises Registration (business) [0259] | None | 100,000 | 0.5000 | 50,000.00 | 1.00 | 50,000.00 | 0.00 | $14,480,572.50 | |||||||||
| N/A | Updates to premises registration (business) [0259] | None | 25,000 | 0.5000 | 12,500.00 | 0.50 | 6,250.00 | 0.00 | ||||||||||
| N/A | Nonproducer Participant Registration (business) [0259] | None | 300 | 0.5000 | 150.00 | 1.50 | 225.00 | 25 | 1.000 | 25.00 | ||||||||
| N/A | AIN Device Manufacturer Applications, Agreements, and Training (business) [0283] | None | 5 | 1.0000 | 5.00 | 12.00 | 60.00 | 5 | 1.000 | 5.00 | ||||||||
| N/A | Manufacturers' Tags (business)[0283] | None | 1 | 1.0000 | 1.00 | 12.00 | 12.00 | 1 | 1.000 | 1.00 | ||||||||
| N/A | ||||||||||||||||||
| N/A | Visual Only Eartags (business)[0283] | None | 1 | 1.0000 | 1.00 | 12.00 | 12.00 | 1 | 1.000 | 1.00 | ||||||||
| SUBTOTAL | 62,657.00 | 56,559.00 | 32.00 | 32.00 | ||||||||||||||
| TOTAL OF ALL PAGES | 978,566.00 | 511,001.25 | 500,332.00 | 200,225.20 | ||||||||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 1,479,248.00 | 715,090.00 | ||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||||
| National Animal Identification System -- Information requirements for participants | 0579-0259 | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| November 1, 2008 | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||||||
| REPORTS | RECORDS | |||||||||||||||||
| TOTAL | ||||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||
| REGS. | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| RESPONDENT | KEEPER | |||||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||||
| N/A | RFID Eartags (business) [0283] | None | 1 | 1.0000 | 1.00 | 12.0000 | 12.00 | 1 | 1.000 | 1.00 | ||||||||
| N/A | RFID Injectable Transponders (business) [NEW] | None | 1 | 1.0000 | 1.00 | 12.0000 | 12.00 | 1 | 1.000 | 1.00 | ||||||||
| N/A | AIN Device Manufacturer Updates and Recordkeeping (business) [NEW] | None | 8 | 75.0000 | 600.00 | 0.3750 | 225.00 | 8 | 14.000 | 112.00 | ||||||||
| N/A | AIN Device Managers Registration and Agreement (business) [0283] | None | 150 | 1.0000 | 150.00 | 0.5000 | 75.00 | 150 | 0.500 | 75.00 | ||||||||
| N/A | AIN Device Managers Training (business) [0283] | None | 150 | 1.0000 | 150.00 | 2.0000 | 300.00 | 0.00 | ||||||||||
| N/A | AIN Device Managers Updates (business) [NEW] | None | 150 | 100.0000 | 15,000.00 | 0.2500 | 3,750.00 | 0.00 | ||||||||||
| SUBTOTAL | 15,902.00 | 4,374.00 | 160 | 189.00 | ||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||||
| National Animal Identification System -- Information Requirements for Participants | 0579-0259 | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| November 1, 2008 | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||||||
| REPORTS | RECORDS | |||||||||||||||||
| TOTAL | ||||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||
| REGS. | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| RESPONDENT | KEEPER | |||||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||||
| N/A | Individual and Group/Lot Movement Records (business)[0259] | None | 300,000 | 3.0000 | 900,000.00 | 0.5000 | 450,000.00 | 500,000 | 0.400 | 200,000.00 | ||||||||
| N/A | Application for Evaluation of Anmal Tracking Databse (ATD)(States/Tribes)[0288] | None | 7 | 1.0000 | 7.00 | 9.7500 | 68.25 | 0.00 | ||||||||||
| N/A | Cooperative Agreement Forms Family (States/Tribes)[0288] (cleared under 4040-0004) | SF-424 | 70 | 1.0000 | 70.00 | 0.7500 | 52.50 | 7 | 0.600 | 4.20 | ||||||||
| N/A | (cleared under 4040-0006) | SF-424A | 70 | 1.0000 | 70.00 | 1.5000 | 105.00 | 0.00 | ||||||||||
| N/A | (Cleared under 4040-0007) | SF-424B | 70 | 1.0000 | 70.00 | 0.2500 | 17.50 | 0.00 | ||||||||||
| N/A | (Cleared under 0348-0046) | SF-LLL | 70 | 1.0000 | 70.00 | 0.1600 | 11.20 | 0.00 | ||||||||||
| SUBTOTAL | 900,007.00 | 450,068.25 | 500,007 | 200,004 | ||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||||
| National Animal Identification System -- Information requirements for participants | 0579-0259 | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| November 1, 2008 | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||||||
| REPORTS | RECORDS | |||||||||||||||||
| TOTAL | ||||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||
| REGS. | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| RESPONDENT | KEEPER | |||||||||||||||||
| (A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||||
| N/A | State/Tribe/Territory Cooperative Agreement Application [0259] | None | 70 | 1.0000 | 70.00 | 20.0000 | 1,400.00 | 70 | 1.250 | 87.50 | ||||||||
| N/A | State/Tribe Quarterly Accomplishment Reports (0259) | None | 70 | 4.0000 | 280.00 | 6.0000 | 1,680.00 | 70 | 10.000 | 700.00 | ||||||||
| 0.00 | 0.00 | |||||||||||||||||
| 0.00 | 0.00 | |||||||||||||||||
| SUBTOTAL | 350.00 | 3,080.00 | 140 | 787.50 | ||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||||
| National Animal Identification System -- Information requirements for participants | 0579-0259 | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| 1-Feb-08 | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | |||||||||||||||||
| REPORTS | RECORDS | |||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| SECTION OF | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||||
| REGS. | (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||||
| Industry cooperator quarterly accomplishment report | RESPONDENT | KEEPER | ||||||||||||||||
| (A) | SUBTOTAL | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||||||
| INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
0581- | |||||||||||||||||
| DATE PREPARED | ||||||||||||||||||
| ANNUAL BURDEN | ||||||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||||||
| DESCRIPTION | TOTAL | |||||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | |||||||||||||||
| File Type | application/CDFV2-corrupt |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |