SNAP-Ed Connection Recipe Submission and Review Forms Burden Data Worksheet

NAL Burden Data Worksheet for Collection 0518-0043.xlsx

SNAP-Ed Connection Recipe Finder Sharing and Review Form

SNAP-Ed Connection Recipe Submission and Review Forms Burden Data Worksheet

OMB: 0584-0624

Document [xlsx]
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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.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.





0518-0043
SNAP-Ed Connection Recipe Submission and Review Forms





DATE PREPARED
7/14/2014

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)

Individual or Households None 1,680 1.00 1,680 0.15 247














Private Sector None 330 11.00 3,630 0.15 534














State, Local or Tribal Government None 1,660 2.00 3,320 0.15 488














SUBTOTAL
3,670.0
8,630
1,269


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