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| 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 entered 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. |
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| Specialty Crop Block Grant Program- Farm Bill |
0581-0248 |
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| DATE PREPARED |
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| January 25, 2021 |
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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RECORDS |
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TOTAL |
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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. |
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so state) |
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PER |
(Col. D x E) |
Response |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
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RESPONDENT |
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KEEPER |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
| 7 USC 1621 note; as amended under Sec. 10010 of the 2014 Farm Bill |
SF-424 Application for Federal Assistance CF (Approved under OMB #4040-0004) |
SF-424 |
56 |
1.0000 |
56.00 |
1.0000 |
56.00 |
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0.00 |
| SF-270 Request for Advance or Reimbursement (Approved under OMB #4040-0012) |
SF-270 |
56 |
3.0000 |
168.00 |
1.0000 |
168.00 |
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0.00 |
| SF-424B Assurances-Non-Construction Program (Approved under OMB #4040-0007) |
SF-424B |
56 |
1.0000 |
56.00 |
0.2500 |
14.00 |
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0.00 |
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SF-425 Federal Financial Report ( Approved under OMB#4040-0014) |
SF-425 |
56 |
1.5000 |
84.00 |
1.5000 |
126.00 |
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0.00 |
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State Plan (Narrative) |
None |
56 |
1.0000 |
56.00 |
10.0000 |
560.00 |
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0.00 |
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Grant Agreement |
AMS-33 |
56 |
1.0000 |
56.00 |
2.0000 |
112.00 |
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0.00 |
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SF-428 Tangible Personal Property Report (Approved under OMB#3090-0289) |
SF-428 |
56 |
1.0000 |
56.00 |
2.7500 |
154.00 |
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0.00 |
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SUBTOTAL |
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112 |
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672 |
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0.00 |
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TOTAL OF ALL PAGES |
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448 |
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1,624 |
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
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Specialty Crop Block Grant Program - Farm Bill |
0581-0248 |
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DATE PREPARED |
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January 25, 2021 |
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| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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RECORDS |
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TOTAL |
| SECTION OF |
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FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
Hours |
TOTAL |
NO. OF |
ANNUAL |
RECORD- |
| REGS. |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
Per |
HOURS |
RECORD- |
HOURS PER |
KEEPING HOURS |
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|
so state) |
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PER |
(Col. D x E) |
Response |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
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RESPONDENT |
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KEEPER |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
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Annual Performance Report (Narrative) |
None |
56 |
2.0000 |
112.00 |
3.0000 |
336.00 |
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0.00 |
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Final Performance Report (Narrative) |
None |
56 |
1.0000 |
56.00 |
6.0000 |
336.00 |
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0.00 |
| 7 USC 1621 note; as amended under Sec. 10010 of the 2014 Farm Bill |
Audit Report (Narrative) |
None |
56 |
1.0000 |
56.00 |
3.0000 |
168.00 |
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0.00 |
| Request for Grant Amendment (Narrative) |
None |
56 |
2.0000 |
112.00 |
1.0000 |
112.00 |
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0.00 |
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SUBTOTAL |
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336 |
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952 |
0.00 |
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0.00 |