AMS-71 Spreadsheet

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.
								Reporting and Recordkeeping Requirements Under Regulations (Other than Rules of Practice) Under the Perishable Agricultural Commodities Act, 1930					0581-0031
													DATE PREPARED
													March 2, 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)
46.4	Application for License (FV-211)					FV-211	1,520	1.0000	1,520.00	0.2500	380.00			0.00
46.9	License Renewal Application or License Reinstatement Notice (FV-231-1 or 231-2 or 231-1A or 231-2A)					FV-231- 231-2A	14,492	1.0000	14,492.00	0.0500	724.60			0.00
46.13	Letters to Notify USDA of Changes (address, ownership, trade names, etc.)					None	900	1.0000	900.00	0.0500	45.00			0.00
46.4	Limited Liability Company Articles of Organization and Operating Agreement					None	408	1.0000	408.00	0.0830	33.86			0.00
46.20	Lot Numbers					None			0.00		0.00	683	8.250	5,634.75
46.46(c)(2)	Waiver of Rights to Trust Protection					None	100	1.0000	100.00	0.2500	25.00			0.00
46.2(aa)(11) & 46.46(e)(1)	Maintain Copy of Written Agreement Reflecting Different Times for Payment (Commission Merchants, Dealers, and Brokers)					None			0.00		0.00	2,343	20.000	46,860.00
46.18	Record of Produce Received								0.00		0.00	6,725	5.000	33,625.00
	SUBTOTAL								17,420.00		1,208	9,751.00		86,119.75
	TOTAL OF ALL PAGES								17,420.00		1,208.46	9,751.00		86,119.75
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c									27,171.00		87,328
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.
								Reporting and Recordkeeping Requirements Under Regulations (Other than Rules of Practice) Under the Perishable Agricultural Commodities Act, 1930					0581-0031
													DATE PREPARED
													March 2, 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)
46.9	License Application Certificate (USDA completes form - no burden placed on public.					FV-231			0.00		0.00			0.00
									0.00		0.00			0.00
									0.00		0.00			0.00
									0.00		0.00			0.00
									0.00		0.00			0.00
									0.00		0.00			0.00
	SUBTOTAL								0.00		0.00	0		0.00