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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. 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.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
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| ARS Agricultural Research Service National Program Assessment Survey |
0518-0042 |
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| DATE PREPARED |
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| February 29, 2016 |
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
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) |
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Business for Profit/Non Profit |
None |
400 |
1.00 |
400 |
0.25 |
100 |
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Individuals |
None |
75 |
1.00 |
75 |
0.25 |
19 |
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State, Local, Tribal Gov |
None |
25 |
1.00 |
25 |
0.25 |
6 |
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Non-Response Bias (Profit/Non Profit) |
None |
240 |
1.00 |
240 |
0.02 |
5.0 |
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Non-Response Bias (Individuals) |
None |
45 |
1.00 |
45 |
0.02 |
1 |
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Non-Response Bian (State, Local, Tribal Gov) |
None |
15 |
1.00 |
15 |
0.02 |
0 |
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SUBTOTAL |
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800 |
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800 |
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131 |
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