Information Collection

National Research, Promotion, and Consumer Information Programs - Mandatory

IC 36984 under ICR 201008-0581-003 · OMB 0581-0093.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form No Form number
National Research, Promotion, and Consumer Information Programs - Mandatory
Form
No Form number End-of-Season Ginning Report
EOS Gin Report.pdf
Form
BLU-FHR U.S. Highbush Blueberry Council First Handler Report
BLU-FHR (First Hdlr Report).doc
Form and Instruction
BLU-GRF U.S. Highbush Blueberry Council Grower Report
BLU-GRF (Grower Report).doc
Form and Instruction
No Form Number Cotton Board Collecting Handler Report
Collecting Handler Report.pdf
Form
DA-20 Dairy--Monthly Report & Remittance of Amount Due for all
DA-20-Dairy-monthly remittance-2pgs.pdf
Form
DA-20R National Fluid Milk Process Monthly Report & Remittance
DA-20R-Fluid-montly remittance.DOC
Form
No Form Number American Egg Board Collecting Handler Report
Collecting Handler Report AEB.doc
Form and Instruction
AVO-FHR Hass Avocado First Handler Report
AVO-FHR (First Handler Report).doc
Form and Instruction
HON-HIF National Honey Board Handler Information Form
HON-HIF - Handler Information Form.doc
Form
HON-GIF Honey - General Information Form
HON-GIF (General Info. Form).doc
Form
No Form Number Beef Monthly Report and Remittance for Cattle Purchased
Beef Assessment Form.pdf

www.beefboard.org/uDocs/ACF385E.xls
Form
MAN-FHR Mango- First Handler's Report
MAN-FHR (First Handler Report).doc
Form and Instruction
MUS-FHR Mushroom First Handler Report
MUS-FHR (First Hdlr Report).doc
Form and Instruction
PEA-DPP National Peanut Board First Handler Report Direct Purcha
PEA-DPP (First Hdlr - not MAL).doc
Form
FV-258-1 National Peanut Board First Handler's Report
PEA-FV-258-1 First Handler.pdf
Form
POP-FHR Popcorn First Handler (Quarterly Report)
POP-FHR (Qtrly Report).doc
Form
LS-101 Pork Promotion Investment Report
LS-101.pdf

www.ams.usda.gov/lsg/mpb/pork/checkoffform.pdf
Form
POT-FHR Designated First Handler's Report for Potato Research &
POT-FHR (DESIGNATED HANDLER REPORT).doc
Form
POT-SHR Designated Seed Handler's Report for Potato Research & P
POT-SHR (Designated Seed Handler Rept.).doc
Form
LS-46 Soybean Report & Remittance--Amount Collected & Due on S
LS-46.pdf

www.ams.usda.gov/lsg/mpb/soy/LS-46fill.pdf
Form
LS-46-1 Soybean Report & Remittance--Amount Collected and Due on
LS-46-1.pdf

www.ams.usda.gov/lsg/mpb/soy/LS-46-1fill.pdf
Form
WAT-FHR Watermelon - First Handlers Report w/Supplemental for Ne
WAT-FHR (Handlers Report)(Paper).xls
Form and Instruction
No Form Number No Cotton Purchased Report
No Cotton Purchase Report.pdf
Form
CB-4.R1 Cotton Board End-of-Season Ginning Report
CB-4.R1 End of Season Gin Report.pdf
Form
HON-HTR Honey Transaction Report (Domestic & Imported Honey/Hone
HON-HTR (Transaction Report).doc
Form
WAT-EFH Watermelon First Handlers Rept (Electronic Test version)
WAT-EFH (electronic test for Handler's Rept.).pdf

www.watermelon.org
Form and Instruction
No Form Number AEB Collecting Handler Registration Statement
Collecting Handler Report AEB.doc
Form
DA-15-CG Application for Initial or Continued Qualification of St
DA-15-CG - QP Applicaton Package.pdf
Form and Instruction
LS-26 Nomination of Cattle Producers for Appointment to the Ca
LS-26.pdf

www.ams.usda.gov/lsg/mpb/beef/LS-26fill.pdf
Form
LS-26-1 Nomination of Cattle Producers for Appointment to the Ca
LS-26-1.pdf

www.ams.usda.gov/lsg/mpb/beef/LS-26-1fill.pdf
Form
BLU-NAF Blueberry State/Region Nominee Application
BLU-NAF (Nominee Application).doc
Form and Instruction
DA-19 Nomination of Milk Producers--National Dairy Promotion a
DA-19-Dairy-NomForm.doc
Form
DA-19-1 Nomination of Milk Processors to Serve on the National F
DA-19-1-Fluid-NomForm.doc
Form
AVO-OPS Announcement of Open Seats on the Hass Avocado Board (Pr
AVO-OPS AVO-OPB-(Producer Nom & Ballot).doc
Form and Instruction
AVO-OIS Announcement of Open Seats on the Hass Avocado Board (Im
AVO-OIS AVO-OIB (Importer Nom & Ballot).doc
Form and Instruction
HON-CPA Honey Board Candidate Profile (Board use only)
HON-CPA (Candidate Profile).doc
Form
MAN-NOM Nomination to Serve on the National Mango Board
MAN-NOM (Nomination Forms).doc
Form
MAN-BAL National Mango Board domestic Producer Nomination Ballot
MAN-BAL (Ballot).doc
Form
1-AEB & 2-AEB American Egg Board Nomination Forms
Nominations Selections 1 AEB & 2 AEB.doc
Form
MUS-NFC Mushroom Council Nomination Form
MUS-NFC (Nomination).doc
Form
MUS-NBF Mushroom Ballot
MUS-NBF (Ballot).doc
Form
FV-270 Nomination of Popcorn Processors to Serve on the Popcorn
POP-FV-270 (06-07).pdf
Form
LS-35 Nomination of Pork Producers or Importers for Appointmen
LS-35.pdf

www.ams.usda.gov/lsg/mpb/pork/LS-35fill.pdf
Form
LS-45-R Nomination of Soybean Producers for Appointment to the U
LS-45R.pdf

www.ams.usda.gov/lsg/mpb/soy/LS-45Rfill.pdf
Form
AD-755 Supplemental list AMS Commodity Specific Questions
AD-755 Supplmt Cmdy Ques.doc
Form
AD-755 Advisory Committee or Research and Promotion Background
AD-755-Master-02.doc
Form
LS-101 Pork Promotion Investment Report
LS-101 (09-09) revised.pdf

www.ams.usda.gov/lsg/mpb/pork/checkoffform.pdf
Form
PEA-FHR First Handler Report - Fee Collection
PEA-FHR.rev. 12-09.pdf
Form and Instruction
LS-81 Monthly Remittance Report
LS-81 0093 (rev.).pdf

www.ams.usda.gov/lsg/mpb/lamb/LS-81-fill.pdf
Form
LS-83 Statement of Certification
LS-83 0093 (rev.).pdf
Form
LS-84 Nomination for Appointment to the Board
LS-84 0093 (rev.).pdf

www.ams.usda.gov/lsg/mpb/lamb/LS-84fill.pdf
Form
Nominee's Agreement to Serve
Sorghum Agreement to Serve (rev.).doc
Form
LS-378 Monthly Report Collecting Handler
Monthly Report Collecting Handler (rev.).doc
Form
Nomination of Producers for Appointment to the Sorghum B
Nomination of Sorghum Producers (2) (rev.).doc
Form
Monthly First Handler's Report
First HANDLER REPORT (rev.).doc
Form

Information Collection (IC) Details

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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 No Form number End-of-Season Ginning Report EOS Gin Report.pdf No   Paper Only
Form LS-46-1 Soybean Report & Remittance--Amount Collected and Due on Soybeans Purchased LS-46-1.pdf http://www.ams.usda.gov/lsg/mpb/soy/LS-46-1fill.pdf No   Fillable Printable
Form and Instruction WAT-FHR Watermelon - First Handlers Report w/Supplemental for New Handlers/Producers WAT-FHR (Handlers Report)(Paper).xls No   Paper Only
Form No Form Number No Cotton Purchased Report No Cotton Purchase Report.pdf No   Paper Only
Form CB-4.R1 Cotton Board End-of-Season Ginning Report CB-4.R1 End of Season Gin Report.pdf No   Paper Only
Form HON-HTR Honey Transaction Report (Domestic & Imported Honey/Honey Products) HON-HTR (Transaction Report).doc No   Paper Only
Form and Instruction WAT-EFH Watermelon First Handlers Rept (Electronic Test version) WAT-EFH (electronic test for Handler's Rept.).pdf http://www.watermelon.org Yes No Fillable Fileable
Form LS-101 Pork Promotion Investment Report LS-101 (09-09) revised.pdf http://www.ams.usda.gov/lsg/mpb/pork/checkoffform.pdf Yes No Printable Only
Form and Instruction PEA-FHR First Handler Report - Fee Collection PEA-FHR.rev. 12-09.pdf No   Fillable Printable
Form LS-81 Monthly Remittance Report LS-81 0093 (rev.).pdf http://www.ams.usda.gov/lsg/mpb/lamb/LS-81-fill.pdf Yes No Fillable Printable
Form LS-83 Statement of Certification LS-83 0093 (rev.).pdf No   Paper Only
Form LS-84 Nomination for Appointment to the Board LS-84 0093 (rev.).pdf http://www.ams.usda.gov/lsg/mpb/lamb/LS-84fill.pdf Yes No Fillable Printable
Form None Nominee's Agreement to Serve Sorghum Agreement to Serve (rev.).doc No   Paper Only
Form LS-378 Monthly Report Collecting Handler Monthly Report Collecting Handler (rev.).doc No   Paper Only
Form None Nomination of Producers for Appointment to the Sorghum Board Nomination of Sorghum Producers (2) (rev.).doc No   Paper Only
Form None Monthly First Handler's Report First HANDLER REPORT (rev.).doc No   Paper Only
Form and Instruction BLU-FHR U.S. Highbush Blueberry Council First Handler Report BLU-FHR (First Hdlr Report).doc No   Paper Only
Form and Instruction BLU-GRF U.S. Highbush Blueberry Council Grower Report BLU-GRF (Grower Report).doc No   Paper Only
Form No Form Number Cotton Board Collecting Handler Report Collecting Handler Report.pdf No   Paper Only
Form DA-20 Dairy--Monthly Report & Remittance of Amount Due for all Milk Marketed Commercially by Producers DA-20-Dairy-monthly remittance-2pgs.pdf No   Paper Only
Form DA-20R National Fluid Milk Process Monthly Report & Remittance DA-20R-Fluid-montly remittance.DOC No   Paper Only
Form and Instruction No Form Number American Egg Board Collecting Handler Report Collecting Handler Report AEB.doc No   Paper Only
Form and Instruction AVO-FHR Hass Avocado First Handler Report AVO-FHR (First Handler Report).doc No   Paper Only
Form HON-HIF National Honey Board Handler Information Form HON-HIF - Handler Information Form.doc No   Paper Only
Form HON-GIF Honey - General Information Form HON-GIF (General Info. Form).doc No   Paper Only
Form No Form Number Beef Monthly Report and Remittance for Cattle Purchased or Marketed Beef Assessment Form.pdf http://www.beefboard.org/uDocs/ACF385E.xls Yes No Printable Only
Form and Instruction MAN-FHR Mango- First Handler's Report MAN-FHR (First Handler Report).doc No   Paper Only
Form and Instruction MUS-FHR Mushroom First Handler Report MUS-FHR (First Hdlr Report).doc No   Paper Only
Form PEA-DPP National Peanut Board First Handler Report Direct Purchases - not MAL PEA-DPP (First Hdlr - not MAL).doc No   Paper Only
Form FV-258-1 National Peanut Board First Handler's Report PEA-FV-258-1 First Handler.pdf No   Paper Only
Form POP-FHR Popcorn First Handler (Quarterly Report) POP-FHR (Qtrly Report).doc No   Paper Only
Form LS-101 Pork Promotion Investment Report LS-101.pdf http://www.ams.usda.gov/lsg/mpb/pork/checkoffform.pdf No   Printable Only
Form POT-FHR Designated First Handler's Report for Potato Research & Promotion Act POT-FHR (DESIGNATED HANDLER REPORT).doc No   Paper Only
Form POT-SHR Designated Seed Handler's Report for Potato Research & Promotion Act POT-SHR (Designated Seed Handler Rept.).doc No   Paper Only
Form LS-46 Soybean Report & Remittance--Amount Collected & Due on Soybeans Purchased LS-46.pdf http://www.ams.usda.gov/lsg/mpb/soy/LS-46fill.pdf No   Fillable Printable
Form No Form Number AEB Collecting Handler Registration Statement Collecting Handler Report AEB.doc No   Paper Only
Form and Instruction DA-15-CG Application for Initial or Continued Qualification of State or Regional Dair Product Promotion, Research, or Nutrition Education Program DA-15-CG - QP Applicaton Package.pdf Yes Yes Fillable Printable
Form LS-26 Nomination of Cattle Producers for Appointment to the Cattlemen's Beef Promotion and Research Board LS-26.pdf http://www.ams.usda.gov/lsg/mpb/beef/LS-26fill.pdf Yes No Fillable Printable
Form LS-26-1 Nomination of Cattle Producers for Appointment to the Cattlemen's Beef Promotion and Research Board LS-26-1.pdf http://www.ams.usda.gov/lsg/mpb/beef/LS-26-1fill.pdf Yes No Fillable Printable
Form and Instruction BLU-NAF Blueberry State/Region Nominee Application BLU-NAF (Nominee Application).doc No   Paper Only
Form DA-19 Nomination of Milk Producers--National Dairy Promotion and Research Board DA-19-Dairy-NomForm.doc No   Fillable Printable
Form DA-19-1 Nomination of Milk Processors to Serve on the National Fluid Milk Processor Promotion Board DA-19-1-Fluid-NomForm.doc No   Fillable Printable
Form and Instruction AVO-OPS Announcement of Open Seats on the Hass Avocado Board (Producer Members & Alternates) AVO-OPS AVO-OPB-(Producer Nom & Ballot).doc No   Paper Only
Form and Instruction AVO-OIS Announcement of Open Seats on the Hass Avocado Board (Importer Members & Alternates) AVO-OIS AVO-OIB (Importer Nom & Ballot).doc No   Paper Only
Form HON-CPA Honey Board Candidate Profile (Board use only) HON-CPA (Candidate Profile).doc No   Paper Only
Form MAN-NOM Nomination to Serve on the National Mango Board MAN-NOM (Nomination Forms).doc No   Paper Only
Form MAN-BAL National Mango Board domestic Producer Nomination Ballot MAN-BAL (Ballot).doc No   Paper Only
Form 1-AEB & 2-AEB American Egg Board Nomination Forms Nominations Selections 1 AEB & 2 AEB.doc No   Paper Only
Form MUS-NFC Mushroom Council Nomination Form MUS-NFC (Nomination).doc No   Paper Only
Form MUS-NBF Mushroom Ballot MUS-NBF (Ballot).doc No   Paper Only
Form FV-270 Nomination of Popcorn Processors to Serve on the Popcorn Board POP-FV-270 (06-07).pdf No   Paper Only
Form LS-35 Nomination of Pork Producers or Importers for Appointment to the National Pork Producers Delegate Body LS-35.pdf http://www.ams.usda.gov/lsg/mpb/pork/LS-35fill.pdf Yes No Fillable Printable
Form LS-45-R Nomination of Soybean Producers for Appointment to the United Soybean Board LS-45R.pdf http://www.ams.usda.gov/lsg/mpb/soy/LS-45Rfill.pdf Yes No Fillable Printable
Form AD-755 Supplemental list AMS Commodity Specific Questions AD-755 Supplmt Cmdy Ques.doc No   Paper Only
Form AD-755 Advisory Committee or Research and Promotion Background Information AD-755-Master-02.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 250,299 0 0 64,764 0 185,535
Annual IC Time Burden (Hours) 159,765 0 0 16,250 0 143,515
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.