AMS-71 Grid

AMS 71 combining 0123 & 0234 grid 10-14-10.xls

Domestic Origin Verification System Questionnaire and Regulations Governing Inspec. & Certif. of Processed Fruits & Vegetables & Related Products

AMS-71 Grid

OMB: 0581-0234

Document [xlsx]
Download: xlsx | pdf















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 Requirements under the Regulations Governing Inspection and Certification of Processed Fruits and Vegetables and Related Products 0581-0234




DATE PREPARED


March 24, 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)
52.7 Domestic Origin Verification (DOV) Program Application for Service FV-DOV-1 50 1.0000 50 0.5000 25.00

0.00
52.7 Application for Inspection and Certificate of Sampling FV-356 1,160 16.0000 18,560 0.3300 6,124.80

0.00
52.30 Application for License to Sample Processed Foods FV-468 215 1.0000 215 0.1700 36.55

0.00
52.41 Surety Bond FV-358 25 1.0000 25 0.2000 5.00

0.00
52.57 Notice for Hold for Re-Examination FV-16 12 1.0000 12.00 0.0830 1.00

0.00










0.00












SUBTOTAL


18,862.00
6,192.35 0.00
0.00

TOTAL OF ALL PAGES








TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c


18,862.00
6,192.35















































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 Requirements under the Regulations Governing Inspection and Certification of Processed Fruits and Vegetables and Related Products





DATE PREPARED



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)



























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
File Typeapplication/vnd.ms-excel
Authoruser
Last Modified ByMarilyn Pish
File Modified2010-10-14
File Created2000-01-10

© 2024 OMB.report | Privacy Policy