AD-755 Background Information Form

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.
								Research and Promotion Board, Council and Committee Background Information Form (Burden hours approved under 0505-0001)					0581-0093
													DATE PREPARED
													June 15, 2007
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)
1260.507(a-c)	Beef					AD-755	100	1.0000	100.00	0.5000	50.00			0.00
1218.41	Blueberries					AD-755	18	1.0000	18.00	0.5000	9.00			0.00
1205	Cotton					AD-755	34	1.0000	34.00	0.5000	17.00			0.00
1150.133	Dairy -- Producer					AD-755	50	1.0000	50.00	0.5000	25.00			0.00
1160.202	Dairy -- Processor (National Fluid Milk)					AD-755	20	1.0000	20.00	0.5000	10.00			0.00
1250	Eggs					AD-755	36	1.0000	36.00	0.5000	18.00			0.00
	SUBTOTAL								258.00		129	0.00		0.00
	TOTAL OF ALL PAGES								662.00		331.00	0.00		0.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c									662.00		331
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.
								Research and Promotion Board, Council and Committee Background Information Form (Burden hours approved under 0505-0001)					0581-0093
													DATE PREPARED
													May 26, 2004
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)
1219.30	Hass Avocados					AD-755	16	1.0000	16.00	0.5000	8.00			0.00
1212.42	Honey (PIB)					AD-755	12	1.0000	12.00	0.5000	6.00			0.00
1280.202	Lamb					AD-755	16	1.0000	16.00	0.5000	8.00			0.00
1206.31	Mangos					AD-755	13	1.0000	13.00	0.5000	6.50
1209.31	Mushroom					AD-755	6	1.0000	6.00	0.5000	3.00			0.00
1216.41	Peanut					AD-755	14	1.0000	14.00	0.5000	7.00			0.00
	SUBTOTAL								77.00		38.50	0		0.00
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.
								Research and Promotion Board, Council and Committee Background Information Form (Burden hours approved under 0505-0001)					0581-0093
													DATE PREPARED
													May 26, 2004
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)
1215.22	Popcorn					AD-755	6	1.0000	6.00	0.5000	3.00			0.00
1230.507(a)	Pork					AD-755	200	1.0000	200.00	0.5000	100.00			0.00
1207.322	Potatoes					AD-755	37	1.0000	37.00	0.5000	18.50			0.00
1220.203	Soybeans					AD-755	60	1.0000	60.00	0.5000	30.00			0.00
1210.321	Watermelon					AD-755	24	1.0000	24.00	0.5000	12.00			0.00
	SUBTOTAL								327.00		163.50	0		0.00