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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), & (K) should be entered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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. |
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Specialty Crop Block Grant Program- 2008 Farm Bill |
0581-NEW |
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DATE PREPARED |
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February 4, 2021 |
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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RECORDS |
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TOTAL |
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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. |
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so state) |
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PER |
(Col. D x E) |
Response |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
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RESPONDENT |
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KEEPER |
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(A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
7 USC 1621 note; as amended under Sec. 10109 of the 2008 Farm Bill |
SF-424 Application for Federal Assistance (Approved under OMB #4040-0004) |
SF-424 |
56 |
1.0000 |
56.00 |
1.0000 |
56.00 |
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0.00 |
SF-424A Budget Information - Non-Construction Programs ( Approved under OMB #4040-0006) |
SF-424A |
56 |
1.0000 |
56.00 |
3.0000 |
168.00 |
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0.00 |
SF-424B Assurances-Non-Construction Program (Approved under OMB #4040-0007) |
SF-424B |
56 |
1.0000 |
56.00 |
0.2500 |
14.00 |
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0.00 |
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SF-270 Request for Advance or Reimbursement (Approved under OMB #0348-0004) |
SF-270 |
56 |
3.0000 |
168.00 |
1.0000 |
168.00 |
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0.00 |
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SF-269A Financial Status Report (Short Form Approved under OMB#0348-0038) (Long Form Approved under OMB #0348-0039) |
SF-269A |
56 |
1.0000 |
56.00 |
1.5000 |
84.00 |
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0.00 |
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SF-LLL Disclosure of Lobbying Activities (Approved under OMB #0348-0046) |
SF-LLL |
56 |
1.0000 |
56.00 |
0.1700 |
9.52 |
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0.00 |
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State Plan (Narrative) |
None |
56 |
1.0000 |
56.00 |
10.0000 |
560.00 |
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0.00 |
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AD-1047 Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions |
AD-1047 |
56 |
1.0000 |
56.00 |
0.2000 |
11.20 |
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0.00 |
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AD-1048 Certification Regarding Debarment, Suspension, Ineligibiity and Voluntary Exclusion- Lower Tier Covered Transactions |
AD-1048 |
56 |
1.0000 |
56.00 |
0.2000 |
11.20 |
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0.00 |
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SUBTOTAL |
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168 |
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582 |
0.00 |
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0.00 |
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TOTAL OF ALL PAGES |
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510 |
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1,439 |
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TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "G" AND "K" = OMB 831, 13c |
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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), & (K) should be entered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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. |
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|
|
|
|
|
|
|
Specialty Crop Block Grant Program - 2008 Farm Bill |
0581-NEW |
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|
|
|
DATE PREPARED |
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|
|
February 4, 2021 |
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
|
|
|
|
|
|
|
|
|
|
|
RECORDS |
|
|
|
|
|
|
|
|
|
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TOTAL |
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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) |
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PER |
(Col. D x E) |
Response |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
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RESPONDENT |
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KEEPER |
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(A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
7 USC 1621 note; as amended under Sec. 10109 of the 2008 Farm Bill |
Certification Regarding Drug-Free Workplace requirements (Grants) alternative for Grantees other than individuals |
AD-1049 |
56 |
1.0000 |
56.00 |
0.2000 |
11.20 |
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0.00 |
Annual Performance Report |
None |
56 |
2.0000 |
112.00 |
3.0000 |
336.00 |
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0.00 |
Final Performance Report |
None |
56 |
1.0000 |
56.00 |
6.0000 |
336.00 |
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0.00 |
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Audit Report |
None |
56 |
1.0000 |
56.00 |
3.0000 |
168.00 |
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0.00 |
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Grant Agreement |
None |
56 |
1.0000 |
56.00 |
0.0830 |
4.65 |
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0.00 |
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Request for Grant Period Extension |
None |
6 |
1.0000 |
6.00 |
0.1700 |
1.02 |
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0.00 |
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SUBTOTAL |
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342 |
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857 |
0.00 |
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0.00 |