| 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. | ||||||||||||
| Importation of Peppers from Certain Central American Countries | 0579-0274 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| September 19, 2018 | ||||||||||||||
| 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) | ||||
| 319.56-40(a)(2) | Inspections (foreign government) | None | 6 | 95 | 570 | 2.00 | 1,140 | |||||||
| 319.56-40(a)(2) | Inspections (Business) | None | 30 | 19 | 570 | 2.00 | 1,140 | |||||||
| 319.56-40(a)(4) & (b)(7) | Phytosanitary Certificates (foreign government) (same respondents as foreign government inspections) | None | 6 | 45 | 270 | 0.50 | 135 | |||||||
| 319.56-40(a)(4) & (b)(7) | Phytosanitary Certificates (Business) (same respondents as inspections) | None | 30 | 9 | 270 | 0.50 | 135 | |||||||
| 319.56-40(b)(7) | Labeling of Boxes (Business) (same respondents as inspections) | None | 30 | 26,240 | 787,200 | 0.00 | 653 | |||||||
| 319-56-40(b)(3)(ii) | Monitoring Traps (foreign government)(same respondents as inspections) | None | 6 | 420 | 2,520 | 0.16 | 403 | |||||||
| 319.56-40 | Trapping Records (foreign government) (same respondents as inspections) | None | 6 | 20.00 | 120.00 | |||||||||
| 319.56-40(a)(2) | Bilateral Workplan (foreign government) (same respondents as inspectons) | None | 6 | 1 | 6 | 80.00 | 480 | |||||||
| 791,406 | 4,086 | 6.00 | 120.00 | |||||||||||
| TOTAL OF ALL PAGES | 791,473 | 4,165 | 6.00 | 120.00 | ||||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 791,479 | 4,285 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| Importation of Peppers from Certain Central American Countries | 0579-0274 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| September 19, 2018 | ||||||||||||||
| 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) | ||||
| 319.56-40(b)(1) | Production Site Registrations (business) (same respondents as inspections) | None | 30 | 1 | 30 | 0.50 | 15 | |||||||
| 319.56-40(b)(1) | Production Site Registrations (Foreign Government) (same respondents as inspections) | None | 6 | 5 | 30 | 0.50 | 15 | |||||||
| 319.56-40(b)(4) | Quality Control Program (foreign government) (same respondents as inspections) | None | 6 | 1 | 6 | 8.00 | 48 | |||||||
| Emergency Action Notifications (business) | PPQ 523 | 1 | 1 | 1 | 1.00 | 1 | ||||||||
| SUBTOTAL | 67 | 79 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | |||||||||||||
| 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. |
0581- | |||||||||||||
| DATE PREPARED | ||||||||||||||
| ANNUAL BURDEN | ||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | ||||||||||||
| TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||
| DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||
| so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | ||||||||||||
| REGS. | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| 0 | 0 | 0.00 | ||||||||||||
| (A) | 0 | 0 | 0.00 | |||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| 0 | 0 | 0.00 | ||||||||||||
| SUBTOTAL | 0 | 0 | 0 | 0.00 | ||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |