Information Collection

National Research, Promotion & Consumer Information Programs (Voluntary)

IC 181815 under ICR 201008-0581-003 · OMB 0581-0093.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form CN-100
National Research, Promotion & Consumer Information Programs (Voluntary)
Form
Sample Instructional Ltr-recertification-Fluid.doc Instruction
CN-100 Cotton Referendum Ballot & Ballot envelope
CN-100 (A, B, C & D).pdf
Form
FV-261 Blueberry Referendum Ballot
FV-261 (BLU Referendum Ballot).doc
Form
PY-1 Egg Research & Promotion Registration, Ballot, and Certi
PY-1.doc
Form
FV-326 Hass Avocado Registration & Official Referendum Ballot
FV-326 Avocado Ballot & Registration Form.doc
Form
FV-182 Honey Official Referendum Ballot
FV-182 Honey Official Referendum Ballot.doc
Form
MAN-ORB Mango Official Referendum Ballot
MAN-ORB (Referendum Ballot).doc
Form
FV-258 Peanut Official Referendum Ballot
FV-258 Peanut Official Referendum Ballot.pdf
Form
No Form Number Beef - Private Treaty Sales Check-Off Investment Form
Beef Private Treaty Form.pdf

www.beefboard.org/uDocs/ACF2602.doc
Form
DA-21 Dairy Promotion & Research Producers Referendum Ballot
DA-21-Producers Referendum Ballot-.pdf
Form and Instruction
DA-21-R Fluid Milk Promotion Order Continuance Referendum (Proce
DA-21-R-Fluid Milk Referendum Ballot-(Processors).pdf
Form and Instruction
POT-ORB Potatoes--Official Referendum Ballot
POT-ORB (Referendum Ballot).doc
Form
LS-49 Soybeans- Referendum Ballot
LS-49.pdf
Form
WAT-ORB Watermelon Official Referendum Ballot
WAT-ORB (Referendum Ballot).doc
Form
FV-236 Hass Avocado Registration & Official Referendum Ballot
FV-326 Avocado Ballot & Registration Form.doc
Form
POP-ORB Peanut Official Referendum Ballot
POP-ORB (Referendum Ballot).doc
Form
LS-51-1 Soybean Request for Referendum
LS-51-1.pdf
Form
BLU-AAE Blueberry Application for Exemption from Assessment
BLU-AAE (Exemption).doc
Form
MAN-AAE Mango Application for Certificate of Exemption
MAN-AAE (Application for Cert Exempt).doc
Form
MUS-AAE Mushroom Application for Certificate of Exemption
MUS-AAE (Cert of Exemption).doc
Form
POP-AAE Popcorn Application for Certificate of Exemption
POP-AAE (Cert of Exemption).doc
Form
LS-48 Soybean Certification of Non-Producer Status
LS-48.pdf
Form
MAN-AFR Mango Application for Reimbursement of Assessment
MAN-AFR (Reimbursement Form).DOC
Form
MUS-AFR Mushroom Importer Application for Refund of Assessment
MUS-AFR (Refund).doc
Form
HON-PIR Honey Producer Information Request
HON-PIR (Producer Information Request).doc
Form
HON-RRA Honey Reduced Reporting Application
HON-RRA (Reduced Reporting).doc
Form
No Form Number American Egg Board Producer/Handler Exemption Registrati
Exemption Registration AEB.doc
Form and Instruction
No Form Number AEB Certification Request
Certification Request Form AEB.doc
Form
AMS-15 Organic Exemption Request Form
AMS-15 Organic Exemption.doc

www.ams.usda.gov/ls/mpb/beef/organicBEEF.pdf
Form
LS-25 Application for Certification of Organization or Associa
LS-25.pdf

www.ams.usda.gov/lsg/mpb/beef/LS-25fill.pdf
Form
HON-HIF Honey Handler Information Form
HON-HIF (Handler Info. form).doc
Form
FV-265 Application for Certification of Peanut Organization
PEA-Cert Org FV-265 (06-07).pdf
Form
No Form Number Certification of Producer Directed Payment of Cattle Ass
Certification of Producer Directed Payment of Cattle Assessments.doc
Form
LS-86 Lamb Promotion, Research, and Information Order Referend
LS-86.pdf
Form and Instruction
FV-229 Official Referendum Ballot Mushroom Promotion, Research
FV-229 Mushroom Ballot & envelope.pdf
Form
LS-78 Certification on Non-Producer Status
LS-78 0093 (rev.).pdf

www.ams.usda.gov/lsg/mpb/lamb/LS-78fill.pdf
Form
LS-82 Application for Certification of Organization
LS-82 0093 (rev.).pdf

www.ams.usda.gov/lsg/mpb/lamb/LS-82fill.pdf
Form
AMS-15 Organic Exemption Request Form
AMS-15 Sorghum Orgnc Exempt (rev.).doc
Form
LS-380 Application for Refund
LS-380 Application for Refund (rev.).doc
Form
LS-379 Referendum Ballot
LS-379 Sorghum Referendum Ballot (rev.).doc
Form
Application for Qualification of State Sorghum Board
Qualification of State Sorghum Board (rev.).doc
Form and Instruction
Application for Certification to Make Nominations to the
Certification of Nominating Organizations (rev.).doc
Form and Instruction
Application for A Certificate of Exemption
Application for Exempt from Assessments (rev.).doc
Form and Instruction
Application for Reimbursement of Assessment
Application for Reimbursement of Assesment (rev.).DOC
Form
Application for Certification of Organization
Application for Cert of Organization (rev.).doc
Form
Nomination for Appointment to the Honey Packers & Import
Honey Nomination Appointment Form (rev.).doc
Form
Honey Official Referendum Ballot
Honey Referendum Ballot (rev.).doc
Form

Information Collection (IC) Details

View Information Collection (IC)

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Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CN-100 Cotton Referendum Ballot & Ballot envelope CN-100 (A, B, C & D).pdf No   Paper Only
Form FV-261 Blueberry Referendum Ballot FV-261 (BLU Referendum Ballot).doc No   Paper Only
Form PY-1 Egg Research & Promotion Registration, Ballot, and Certification PY-1.doc No   Paper Only
Form No Form Number Beef - Private Treaty Sales Check-Off Investment Form Beef Private Treaty Form.pdf http://www.beefboard.org/uDocs/ACF2602.doc Yes No Printable Only
Form and Instruction DA-21 Dairy Promotion & Research Producers Referendum Ballot DA-21-Producers Referendum Ballot-.pdf No   Paper Only
Form and Instruction DA-21-R Fluid Milk Promotion Order Continuance Referendum (Processors) DA-21-R-Fluid Milk Referendum Ballot-(Processors).pdf No   Paper Only
Form POT-ORB Potatoes--Official Referendum Ballot POT-ORB (Referendum Ballot).doc No   Paper Only
Form LS-49 Soybeans- Referendum Ballot LS-49.pdf No   Paper Only
Form WAT-ORB Watermelon Official Referendum Ballot WAT-ORB (Referendum Ballot).doc No   Paper Only
Form FV-236 Hass Avocado Registration & Official Referendum Ballot FV-326 Avocado Ballot & Registration Form.doc No   Paper Only
Form POP-ORB Peanut Official Referendum Ballot POP-ORB (Referendum Ballot).doc No   Paper Only
Form LS-51-1 Soybean Request for Referendum LS-51-1.pdf No   Paper Only
Form BLU-AAE Blueberry Application for Exemption from Assessment BLU-AAE (Exemption).doc No   Paper Only
Form MAN-AAE Mango Application for Certificate of Exemption MAN-AAE (Application for Cert Exempt).doc No   Paper Only
Form MUS-AAE Mushroom Application for Certificate of Exemption MUS-AAE (Cert of Exemption).doc No   Paper Only
Form POP-AAE Popcorn Application for Certificate of Exemption POP-AAE (Cert of Exemption).doc No   Paper Only
Form LS-48 Soybean Certification of Non-Producer Status LS-48.pdf No   Paper Only
Form MAN-AFR Mango Application for Reimbursement of Assessment MAN-AFR (Reimbursement Form).DOC No   Paper Only
Form MUS-AFR Mushroom Importer Application for Refund of Assessment MUS-AFR (Refund).doc No   Paper Only
Form HON-PIR Honey Producer Information Request HON-PIR (Producer Information Request).doc No   Paper Only
Form HON-RRA Honey Reduced Reporting Application HON-RRA (Reduced Reporting).doc No   Paper Only
Form and Instruction No Form Number American Egg Board Producer/Handler Exemption Registration Exemption Registration AEB.doc No   Paper Only
Form and Instruction LS-86 Lamb Promotion, Research, and Information Order Referendum LS-86.pdf No   Printable Only
Form FV-229 Official Referendum Ballot Mushroom Promotion, Research & Consumer Info. Order FV-229 Mushroom Ballot & envelope.pdf No   Paper Only
Form LS-78 Certification on Non-Producer Status LS-78 0093 (rev.).pdf http://www.ams.usda.gov/lsg/mpb/lamb/LS-78fill.pdf Yes No Fillable Printable
Form LS-82 Application for Certification of Organization LS-82 0093 (rev.).pdf http://www.ams.usda.gov/lsg/mpb/lamb/LS-82fill.pdf Yes No Fillable Printable
Form AMS-15 Organic Exemption Request Form AMS-15 Sorghum Orgnc Exempt (rev.).doc No   Paper Only
Form LS-380 Application for Refund LS-380 Application for Refund (rev.).doc No   Paper Only
Form LS-379 Referendum Ballot LS-379 Sorghum Referendum Ballot (rev.).doc No   Paper Only
Form and Instruction None Application for Qualification of State Sorghum Board Qualification of State Sorghum Board (rev.).doc No   Paper Only
Form and Instruction None Application for Certification to Make Nominations to the Sorghum Board Certification of Nominating Organizations (rev.).doc No   Paper Only
Form and Instruction None Application for A Certificate of Exemption Application for Exempt from Assessments (rev.).doc No   Paper Only
Form None Application for Reimbursement of Assessment Application for Reimbursement of Assesment (rev.).DOC No   Paper Only
Form FV-326 Hass Avocado Registration & Official Referendum Ballot FV-326 Avocado Ballot & Registration Form.doc No   Paper Only
Form FV-182 Honey Official Referendum Ballot FV-182 Honey Official Referendum Ballot.doc No   Paper Only
Form MAN-ORB Mango Official Referendum Ballot MAN-ORB (Referendum Ballot).doc No   Paper Only
Form FV-258 Peanut Official Referendum Ballot FV-258 Peanut Official Referendum Ballot.pdf No   Paper Only
Form No Form Number AEB Certification Request Certification Request Form AEB.doc No   Paper Only
Form AMS-15 Organic Exemption Request Form AMS-15 Organic Exemption.doc http://www.ams.usda.gov/ls/mpb/beef/organicBEEF.pdf Yes No Fillable Printable
Form LS-25 Application for Certification of Organization or Association LS-25.pdf http://www.ams.usda.gov/lsg/mpb/beef/LS-25fill.pdf Yes No Fillable Printable
Form HON-HIF Honey Handler Information Form HON-HIF (Handler Info. form).doc No   Paper Only
Form FV-265 Application for Certification of Peanut Organization PEA-Cert Org FV-265 (06-07).pdf No   Paper Only
Form None Application for Certification of Organization Application for Cert of Organization (rev.).doc No   Paper Only
Form None Nomination for Appointment to the Honey Packers & Importers Honey Nomination Appointment Form (rev.).doc No   Paper Only
Form None Honey Official Referendum Ballot Honey Referendum Ballot (rev.).doc No   Paper Only
Instruction Sample Instructional Ltr-recertification-Fluid.doc No   Paper Only
Form No Form Number Certification of Producer Directed Payment of Cattle Assessments Certification of Producer Directed Payment of Cattle Assessments.doc No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 368,141 0 0 91,389 0 276,752
Annual IC Time Burden (Hours) 22,933 0 0 9,724 0 13,209
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.