AMS-71 Grid

INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), & (K) should be enered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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.
								USDA Farmers Market Application					0581-0229
													DATE PREPARED
													October 14, 2010
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
												RECORDS
														TOTAL
						FORMS NO (S)	NO. OF	NO OF	TOTAL ANNUAL		TOTAL	NO. OF	ANNUAL	RECORD-
SECTION OF	DESCRIPTION					(If "none"	RESPONDENTS	RESPONSES	RESPONSES		HOURS	RECORD-	HOURS PER	KEEPING HOURS
REGS.						so state)		PER	(Col. D x E)		(Col. F x G)	KEEPERS	RECORD-	(Col. I x J)
								RESPONDENT					KEEPER
(A)	(B)					(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)
7 USC 1621 - 1627	USDA Farmers Market Application (incl. Guidelines & Criteria)					TM-28	30	1.0000	30.00	0.1200	3.60			0.00
	Guidelines (no burden signature only)					None	30	1.0000	30.00	0.0000	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		0.00			0.00
	SUBTOTAL								60.00		3.60	0.00		0.00
	TOTAL OF ALL PAGES								60.00		3.60	0.00		0.00
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "G" AND "K" = OMB 831, 13c									60.00		3.60