AMS-71 spreadsheet

AMS 71 5-17-2019 w-Cost Calculations.xlsx

Mandatory Country of Origin Labeling of Covered Commodities

AMS-71 spreadsheet

OMB: 0581-0250

Document [xlsx]
Download: xlsx | pdf

Overview

AMS-71 with Cost Calculations
2016 v 2019 cost comparison

Sheet 1: AMS-71 with Cost Calculations












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.







Mandatory Country of Origin Labeling of Covered Commodities 0581-0250




DATE PREPARED


May 17, 2019
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT







RECORDS




























FORMS NO (S) NO. OF Annual hrs. per TOTAL ANNUAL Hourly Cost Befefits/Compensation Total Hourly Cost TOTAL ANNUAL
SECTION OF DESCRIPTION (If "none" RESPONDENT RESPONDENTS recordkeeping hrs.
X .317
COSTS
REGS.


so state)













(Col. I x J)
(L x .317) (L + M) (K x N)
(A) (B) NONE (I) (J) (K) (L) (M) (N) (O)

Storing & Maintenance for Establishments







7 CFR §65.500 a & b Livestock: Lamb and Goat Producers (previously included in Livestock and Farm-Raised Fish and Shellfish Producers)
92,974 12.0 1,115,688 $13.87 $4.40 $18.27 20,383,620
7 CFR §60.400 a & b Farm-Raised Fish & Shellfish Producers (previously included in Livestock and Farm-Raised Fish and Shellfish Producers)
4,562 4.0 18,248 $13.87 $4.40 $18.27 333,391
7 CFR §65.500 a & b Chicken Producers
32,751 4.0 131,004 $12.72 $4.03 $16.75 2,194,317
7 CFR §60.400 a & b Wild Fish and Shellfish Producers
2,449 4.0 9,796 $12.72 $4.03 $16.75 164,083
7 CFR §65.500 a & b Fruit & Vegetable Producers
140,606 4.0 562,424 $12.72 $4.03 $16.75 9,420,602
7 CFR §65.500 a & b Ginseng, Peanut, Pecan, and Macadamia Nut Producers
26,622 4.0 106,488 $12.72 $4.03 $16.75 1,783,674
7 CFR §60.400 a & b; 7 CFR §65.500 a & b Handlers, Processors, & Wholesalers (except livestock processing & slaughtering)
9,251 52.0 481,052 $17.19 $5.45 $22.64 10,891,017
7 CFR §65.500 a & b Livestock Processing & Slaughtering
4,332 1040.0 4,505,280 $17.19 $5.45 $22.64 101,999,539
7 CFR §60.400 a & c; 7 CFR §65.500 a & c Retailers
37,439 365.0 13,665,235 $17.19 $5.45 $22.64 309,380,920

SUBTOTAL Storing and Maintenance Establishments
350,986
20,595,215


456,551,164

Set-up and Maintenance (for Operations)







7 CFR §60.400 a & b; 7 CFR §65.500 a & b Producers
59,993 4.0 239,972 $20.25 $6.42 $26.67 6,400,053
7 CFR §60.400 a & b; 7 CFR §65.500 a & b Intermediaries -- Handlers, Processors, and Wholesalers
2,717 29.0 78,793

$1,310.00 3,559,270
7 CFR §60.400 a & c; 7 CFR §65.500 a & c Retailers
1,821 29.0 52,809

$1,310.00 2,385,510

SUBTOTAL Set-up and Maintenance (for Operations)
64,531
371,574


12,344,833

TOTAL OF ALL PAGES
415,517
20,966,789


468,895,997
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c
415,517 50.46 20,966,789


468,895,997
























































































































































































































































































































































































































































































































































































































































































































































































































































































































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.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
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SUBTOTAL

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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
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0.00

SUBTOTAL

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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
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0.00

SUBTOTAL

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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
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0.00

SUBTOTAL

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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
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0.00

SUBTOTAL

#REF!
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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
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0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
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0.00




#REF!
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0.00




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0.00




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0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




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0.00




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0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




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0.00




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0.00




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#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




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0.00




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0.00




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0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
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0.00




#REF!
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0.00




#REF!
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0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00




#REF!
#REF!

0.00

SUBTOTAL

#REF!
#REF! 0
0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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0.00




































INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO.








0581-




DATE PREPARED



IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT








RECORDS
















TOTAL




FORMS NO (S) NO OF TOTAL ANNUAL HOURS TOTAL NO. OF ANNUAL RECORD-
SECTION OF DESCRIPTION (If "none" 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) (E) (F) (G) (H) (I) (J) (K)




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SUBTOTAL

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Sheet 2: 2016 v 2019 cost comparison

2016
2019 Respondent Variance Burden Hour Variance
Storing & Maintenance for Establishments Respondents Burden Hours Total Hours
Respondents Burden Hours Total Hours

Livestock (lamb and goat) and Farm-Raised Fish and Shellfish Producers 222,327 12 2,667,924 97,536 12 1,133,936 (124,791) (1,533,988)
Chicken, Wild Fish and Shellfish, Fruit & Vegetable, Ginseng, Peanut, Pecan, and Macadamia Nut Producers 268,170 4 1,072,680 202,428 4 809,712 (65,742) (262,968)
Handlers, Processors, & Wholesalers (except livestock processing & slaughtering) 18,341 52 953,732 9,251 52 481,052 (9,090) (472,680)
Livestock Processing & Slaughtering 2,770 1040 2,880,800 4,332 1040 4,505,280 1,562 1,624,480
Retailers 37,890 365 13,829,850 37,439 365 13,665,235 (451) (164,615)
Set-up and Maintenance (for Operations)






-
Producers 98,099 4 392,396 59,993 4 239,972 (38,106) (152,424)
Intermediaries -- Handlers, Processors, and Wholesalers 4,222 29 122,438 2,717 29 78,793 (1,505) (43,645)
Retailers 1,023 29 29,667 1,821 29 52,809 798 23,142
SUBTOTAL 652,842
21,949,487 415,517
20,966,789 (237,325) (982,698)
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