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. 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.

Dairy Products Mandatory Sales Reporting

0581-NEW

DATE PREPARED

May 23, 2011

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)

7 CFR Part 1170

Cheddar cheese price, volume, and moisture content

DA-232

28

52

1,456.00

0.3333

485

0.00

7 CFR Part 1170

Butter price and volume

DA-231

20

52

1,040.00

0.3333

347

0.00

7 CFR Part 1170

Nonfat dry milk price and volume

DA-233

26

52

1,352.00

0.3333

451

0.00

7 CFR Part 1170

Dry whey price and volume

DA-234

21

52

1,092.00

0.3333

364

0.00

7 CFR Part 1170

Annual validation, Supplement (if applicable), burden included

DA-230, DA-230-S

180

1

180.00

0.3333

60

0.00

7 CFR Part 1170

Survey Follow-up Verification

7

52

364.00

0.0833

30

0.00

0.00

TOTAL

5,484.00

1,736.82

0.00