AMS-71 grid

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.
								Seed Service Testing Program					0581-0140
													DATE PREPARED
													March 9, 2010
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)
75.10	Application for Service, Content of Application, and Proof Authority					None	81	32.9900	2,672.00	0.2500	668.00			0.00
75.18	Sampling for Seed Lot Inspection Request (no public burden)					None	0	0.0000	0.00	0.0000	0.00			0.00
75.19 & 75.49	Identification Mark or Number Approval Inspector					None	0	0.0000	0.00	0.0000	0.00			0.00
75.27	Request for Appeal Inspection (no applications during or since FY 1994)					None	0	0.0000	0.00	0.0000	0.00			0.00
									0.00		0.00			0.00
									0.00	0.0000	0.00			0.00
									0.00		0.00			0.00
									0.00		0.00			0.00
	SUBTOTAL						81.00		2,672.00		668	0.00		0.00
	TOTAL OF ALL PAGES						81.00		2,672.00		668.00	0.00		0.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c							81.00		2,672.00		668