This form is available electronically. |
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FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency
Reporting and Recordkeeping Requirements
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1. OMB No. |
0560-XXXX |
2. Title of Clearance |
Ammonia Nurse Tank Additive Program (ANTAP) |
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3.
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4.
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5.
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6.
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7.
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Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) |
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Description (Title of Form, Report or Record) |
Report
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Record
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Form No.
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Regulation Part/Sec. |
8.
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9.
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10.
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11.
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12. Total Burden Hours |
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No. of Respondents |
No. of Reports Filed Per Person |
Total Annual Responses |
Average Time to Respond
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Exempt |
Non-Exempt |
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ANTAP Work Plan and EPA Cert. |
X |
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none |
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20 |
1 |
20 |
29.67 hr |
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593.4 hrs |
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ANTAP Progress Report |
X |
x |
none |
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5 |
1 |
5 |
14 hr |
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70 hrs |
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ANTAP Final Report |
X |
x |
none |
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5 |
1 |
5 |
30 hr |
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150 hrs |
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Grant Agreement |
x |
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none |
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5 |
1 |
5 |
19.84 hr |
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99.2 hrs |
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Total reporting |
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912.6 |
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Recordkeeping |
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x |
none |
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5 |
1 |
5 |
0.5 hr |
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2.5 hrs |
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Total reported below is for the above reporting and recordkeeping requirements |
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915.1 hrs |
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Burden for standard forms approved by other OMB Control number: |
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see below for more forms |
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Request For Advance or Reimbursement |
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SF-270 (OMB # 0348-0004) |
Circular-A-102 |
5 |
2 |
10 |
1 hr |
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10 hrs |
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Assurance - Non-Construction Programs (OMB#4040-0007) |
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SF-424B (OMB # 4040-0007) |
Circular-A-102 |
5 |
1 |
5 |
0.25 hr |
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1.25 hrs |
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Disclosure Form to Report Lobbying (OMB #0348-0046) |
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SF-LLL (OMB # 0348-0046) |
7 CFR 3018 |
5 |
1 |
5 |
0.17 hr |
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0.85 hrs |
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Certification Regarding Lobby (attached with SFLLL) |
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N/A |
7 CFR 3018 |
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0.85 hrs |
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Direct Deposit Form (OMB # 1510-0007) |
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SF-1199A (OMB # 1510-0007) |
Treasury Dept. Circular-1076 |
5 |
1 |
5 |
0.17 hr |
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0.85 hrs |
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Application For Federal Assistance |
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SF-424 (OMB # 4040-0001) |
Circular-A-102 |
20 |
1 |
20 |
0.33 hr |
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6.6 hrs |
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Budget Information - Non-Construction Programs |
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SF-424A (OMB # 4040-0006) |
Circular-A-102 |
20 |
1 |
20 |
3 hr |
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60 hrs |
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Federal Financial Report |
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SF-425 (OMB # 0348-0061) |
Circular-A-102 |
5 |
1 |
5 |
1.5 hr |
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7.5 hrs |
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TOTALS |
20 |
1 |
35 |
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915.1 hrs |
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| File Type | application/msword |
| File Title | This form is available electronically |
| Author | USDA-MDIOL00000DG8C |
| Last Modified By | deirdre.holder |
| File Modified | 2010-08-23 |
| File Created | 2010-08-23 |