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.

Regulations for Inspection of Eggs 7 CFR Part 57

0581-0113

DATE PREPARED

January 15, 2015

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)

57.13

Shell Egg Surveillance Quarterly Cost Report

LPS-76

30

4.0000

120.00

1.5000

180.00

0.00

57.28(a)(1)

Shell Egg Regulatory Inspection Report (Includes burden under 57.760.)

PY-156 LPS-156

810

3.5000

2,835.00

0.2000

567.00

0.00

57.110(a)

State employee's request for inspectors license (Burden for all PY Programs' regs reflected under 56.10(a), OMB 0581-0128.)

PY-157

0.00

0.00

0.00

57.112

State employee appeals suspension of inspector's license

None

0

1.0000

0.00

1.0000

0.00

0.00

57.200(a)&(b)

Records required for those handling eggs and egg products (Includes burden under 57.720(c).)

None

0.00

0.00

827

0.250

206.75

57.240

Alleged Violation Detention Notice (Reflects burden for all PY Programs' regs. Form PY-518-1 is used under all PY Programs' regs)

LPS-518-1

15

1.0000

15.00

0.2500

3.75

0.00

57.320

Request for an appeal - may be oral or in writing (Most all are direct verbal or telephone requests)

None

0

1.0000

0.00

0.1600

0.00

0.00

57.690

Registration of shell egg handlers

LPS-155

15

1.0000

15.00

0.3300

4.95

0.00

SUBTOTAL

2,985.00

755.70

827.00

206.75

TOTAL OF ALL PAGES

5,350.00

1,702.12

827.00

206.75

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

6,177.00

1,908.87

206.75

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.

Regulations for Inspection of Eggs 7 CFR Part 57

0581-0113

DATE PREPARED

January 15, 2015

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)

57.720(a)(2)

Identifying inedible egg products (Burden reflected under 57.840)

None

0.00

0.00

0.00

57.720(a)(3)

Request alternate procedures for handling inedible for industrial use or animal food

None

10

12.5000

125.00

1.0000

125.00

0.00

57.720(a)(4)

Labeling restricted eggs (Burden reflected under 57.800.)

None

0.00

0.00

0.00

57.720(c)

Records to be maintained on restricted eggs (Burden included under 57.200(a) and (b).)

None

0.00

0.00

0.00

57.760

Inspection of egg handlers (Burden reflected in 57.28(a)(1).)

PY-156 LPS-156

0.00

0.00

0.00

57.800

Labeling or identifying inedible or restricted eggs (Incl burden under 57.720(a)(4). Burden to present ID or labeling. No info to collect, assemble or submit. USDA provides exmpls

None

405

2.0000

810.00

0.3300

267.30

0.00

SUBTOTAL

935.00

392.30

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.

Regulations for Inspection of Eggs 7 CFR Part 57

0581-0113

DATE PREPARED

January 15, 2015

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)

57.840

Labeling or identifying inedible & unwholesome egg products (Incl burden under 57.720(a)(2). Burden to present ID & labeling for containers. No info to collect, assemble or submit - USDA provides

None

50

2.5000

125.00

0.5000

62.50

0.00

57.905(a)

Labeling or identifying imported restricted eggs (Burden to present ID or labeling. No info to collect, assemble or submit - USDA provides examples of ID & labeling

None

4

1.0000

4.00

0.3300

1.32

0.00

57.915(b)

Foreign inspection certificate for imported shell eggs

None

48

7.0000

336.00

0.5000

168.00

0.00

57.920

Import Request (Shell Eggs)

LPS-222

48

20.0000

960.00

0.3300

316.80

0.00

57.930(f)

Report a wreck or emergency

None

1

1.0000

1.00

0.2500

0.25

0.00

57.950(a)

Labels for imported egg products (Reflects burden, to develop, assemble, and provide labeling info & to present labeling)

None

1

2.0000

2.00

2.0000

4.00

0.00

SUBTOTAL

1,428.00

552.87

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.

Regulations for Inspection of Eggs 7 CFR Part 57

0581-0113

DATE PREPARED

January 15, 2015

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)

57.960

Consignee certifies small importations

None

1

1.0000

1.00

0.5000

0.50

0.00

57.965

Report returned products

None

1

1.0000

1.00

0.7500

0.75

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

2.00

1.25

0

0.00