Document

AMS-71 spreadsheet 7-8-19

ICR 201907-0581-002 · OMB 0581-0125 · Object 93128101.

Document Viewer [xlsm]

Status: Original and derived artifacts are available for this document.

Download: xlsm | pdf | html

Primary: spreadsheetSource: application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
Loading document viewer…

Document Metadata

Record metadata
application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
AMS-71 spreadsheet 7-8-19
user
Calc
2019-07-08
2026-11-04
complete

Extracted Text

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 1 of 6

SUMMARY OF INFORMATION COLLECTION

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.

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Regulations Governing Inspection, Certification, Standards and Audit 0581-0125
Services for Fresh and Processed Fruits, Vegetables, and Other
Products
-- 7 CFR 51
DATE PREPARED

(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.

June 17, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS
TOTAL

SECTION OF
REGS.

FORMS NO (S)
(If "none"
so state)

DESCRIPTION

NO. OF
RESPONDENTS

NO OF
RESPONSES
PER

TOTAL ANNUAL
RESPONSES
(Col. D x E)

HOURS
PER
RESPONSE

TOTAL
HOURS
(Col. F x G)

NO. OF
RECORDKEEPERS

RESPONDENT
(A)

(B)

(C)

(D)

(E)

(F)

(G)

Where Inspection Service is Offered
(Burden resulting from agreement included under
51.6) (Program completes) (signature only)

AMS-20
(COOP
Agreement)

51.6, 51.7,
51.8

Record of Request for Inspection/Reinspection of
Food Products

SC-237

3,261

36.21

118,073.00

51.10

When Application May be Withdrawn

None

700

10.00

7,000.00

51.11

Authority to Request Inspection (Has never been
used but in regulations if needed.)

None

51.23

Request for Inspection Results Prior to Issuance of
Formal Report

None

51.24, 51.25

Application for Appeal (Burden included in 51.6
under FV-237)

None

(Col. I x J)

500.00

(I)

(J)

0.0333

3,931.83

0.00

0.0170

119.00

0.00

0.00

0.00

25.00

0.00

0.00

0.00

0.0500

SUBTOTAL

3,261.00

47.21

125,573.00

0.10

4,075.83

0.00

TOTAL OF ALL PAGES

60,814.00

73.08

197,609.00

16.75

25,773.61

0.00

197,609.00

(K)

0.00

0.00

SUMMARY OF INFORMATION COLLECTION

KEEPING HOURS

0.00

0.00

TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b;
COLUMNS "H" AND "K" = OMB 831, 13c

AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.

(H)

0.00

1.00

RECORD-

KEEPER

51.4(a) (d)

500

ANNUAL
HOURS PER
RECORD-

0.00
0.00

0.00

25,773.61

USDA-AMS

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 2 of 6

SUMMARY OF INFORMATION COLLECTION

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.

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Regulations Governing Inspection, Certification, Standards and Audit 0581-0125
Services for Fresh and Processed Fruits, Vegetables, and Other
Products
-- 7 CFR 51
DATE PREPARED

(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.

June 17, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS
TOTAL

SECTION OF

DESCRIPTION

REGS.

FORMS NO (S)

NO. OF

NO OF

TOTAL ANNUAL

(If "none"

RESPONDENTS

RESPONSES

RESPONSES

PER

PER

(Col. D x E)

RESPONSE

so state)

HOURS

TOTAL

NO. OF

ANNUAL

RECORD-

HOURS

RECORD-

HOURS PER

KEEPING HOURS

(Col. F x G)

KEEPERS

RECORD-

(Col. I x J)

RESPONDENT
(A)

(B)

(C)

51.28

When Application for an Appeal Inspection may be
Withdrawn (None in recent yrs. None expected in
next 3 yrs.)

None

51.33

Application for Interstate/Intrastate Commerce
Inspector's License

SC-202

51.34

(D)

(E)

KEEPER
(F)

(G)

(H)

0.00

(I)

(J)

(K)

0.00

0.00

16

1.00

16.00

0.5000

8.00

0.00

Appeal of Suspension or Revocation of License None

0

1.00

0.00

1.0000

0.00

0.00

51.42

Charges for Inspection Services on a Contract
None
Basis

1

1.00

1.00

1.0000

1.00

0.00

51.49,
51.59(e)(8)

Approved ID's, incl. typesetting of each
packer's or distributor's label bearing or
referring in any manner to offical inspection or
grade marks.

3

1.00

3.00

3.0000

9.00

0.00

20.00

4.00

20.00

5.50

18.00

SUBTOTAL

None

SUMMARY OF INFORMATION COLLECTION
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.

0

0.00

USDA-AMS

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 3 of 6

SUMMARY OF INFORMATION COLLECTION

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.

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Regulations Governing Inspection, Certification, Standards and Audit 0581-0125
Services for Fresh and Processed Fruits, Vegetables, and Other
Products
-- 7 CFR 51
DATE PREPARED

(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.

June 17, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS
TOTAL

SECTION OF

DESCRIPTION

REGS.

FORMS NO (S)

NO. OF

NO OF

TOTAL ANNUAL

(If "none"

RESPONDENTS

RESPONSES

RESPONSES

PER

PER

(Col. D x E)

RESPONSE

so state)

HOURS

TOTAL

NO. OF

ANNUAL

RECORD-

HOURS

RECORD-

HOURS PER

KEEPING HOURS

(Col. F x G)

KEEPERS

RECORD-

(Col. I x J)

RESPONDENT
(A)

(B)

(C)

51.59(e)

Positive Lot Identification

SC-24

51.59(e)(4)

Furnishing of Reports (no reports requested
since graders are present during opertion of
plants)

None

51.52

(D)

(E)

(F)

(J)

(K)

0.00

0.00

Licensing and Identification of Certain Services
(Done through Memo of Agreement if needed. None
None anticipated.)

0.00

0.00

0.00

51.53

Continuous Inspection (Burden included in
51.49)

None

0.00

0.00

0.00

51.60

Termination of Contract (No burden as there
have been no terminations)

None

0.00

0.00

0.00

0.00

0.00

0.00

SUMMARY OF INFORMATION COLLECTION
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.

1.00

1.000

(I)

0.00

1.00

1.00

(H)

0.00

1.00

1.00

(G)

1.00

SUBTOTAL

1

KEEPER

1.00

1.00

0

0.00

USDA-AMS

REPRODUCE LOCALLY. Include form number and date on all reproductions.

Page 4 of 6

SUMMARY OF INFORMATION COLLECTION

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.

TITLE OF INFORMATION COLLECTION DOCUMENT

OMB NO.

Regulations Governing Inspection, Certification, Standards and Audit 0581-0125
Services for Fresh and Processed Fruits, Vegetables, and Other
Products
-- 7 CFR 51
DATE PREPARED

(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.

June 17, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS
TOTAL

SECTION OF

DESCRIPTION

REGS.

FORMS NO (S)

NO. OF

NO OF

TOTAL ANNUAL

(If "none"

RESPONDENTS

RESPONSES

RESPONSES

PER

PER

(Col. D x E)

RESPONSE

so state)

HOURS

TOTAL

NO. OF

ANNUAL

RECORD-

HOURS

RECORD-

HOURS PER

KEEPING HOURS

(Col. F x G)

KEEPERS

RECORD-

(Col. I x J)

RESPONDENT
(A)

51.6, 51.7,
51.8

(B)

(C)

(F)

(G)

(H)

0.00

(I)

(J)

(K)

0.00

0.00

SC-237A

3,289

1.00

3,289.00

0.0333

109.52

0.00

(makes request on behalf of the auditee participating SC-237A
in a gov't procurement program)

711

1.00

711.00

0.0333

23.68

0.00

1,400

1.00

1,400.00

8.5000

11,900.00

0.00

5

1.00

5.00

0.3333

1.67

0.00

0.00

0.00

- Government - Local, State, Federal

51.3

(E)

Request for Audit Services
- Farm, Business and not for profit

51.6, 51.7,
51.8

(D)

KEEPER

Agreement for Participation in Audit Verification
SC-651
Programs (the auditee itself completes)

Logo Use Request for Audit Programs
(the auditee itself completes)

SC-652

0.00
SUBTOTAL

4,694.00

4.00

SUMMARY OF INFORMATION COLLECTION
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.

5,405.00

8.90

12,034.87

0

0.00

USDA-AMS

REPRODUCE
LOCALLY.Use
Include
date on
all reproductions.
SUMMARY
COLLECTIONCOLLECTION DOCUMENT
INSTRUCTIONS:
this form
formnumber
when and
a single
information
collection document involves multiple reporting
and OF INFORMATION
TITLE OF INFORMATION

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

Page 5 of 6

OMB NO.

Regulations Governing Inspection, Certification, Standards and Audit 0581-0125
Services for Fresh and Processed Fruits, Vegetables, and Other
Products
-- 7 CFR 52
DATE PREPARED

(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.

June 17, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS
TOTAL

SECTION OF

DESCRIPTION

REGS.

FORMS NO (S)

NO. OF

NO OF

TOTAL ANNUAL

(If "none"

RESPONDENTS

RESPONSES

RESPONSES

PER

PER

(Col. D x E)

RESPONSE

so state)

HOURS

TOTAL

NO. OF

ANNUAL

RECORD-

HOURS

RECORD-

HOURS PER

KEEPING HOURS

(Col. F x G)

KEEPERS

RECORD-

(Col. I x J)

RESPONDENT
(A)

(B)

(C)

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

52.7

Domestic Origin Verification (DOV) Program
Appication for Sevice

SC-Dov-1

43

1.0000

43.00

0.5000

21.50

0.00

52.7

Application for Inspection and Certificate of
Sampling

SC-356

1,160

12.8724

14,932.00

0.3333

4,976.84

0.00

52.30

Apllication for License to Sample Processed
Foods

SC-468

215

1.0000

215.00

0.1670

35.91

0.00

52.41

Surety Bond

SC-358

16

1.0000

16.00

0.1670

2.67

0.00

52.57

Notice for Hold for Re-Examination

SC-16

12

1.0000

12.00

0.0833

1.00

0.00

0.00

0.00

0.00
SUBTOTAL

1,446.00

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.

16.87

1.25

TITLE OF INFORMATION COLLECTION DOCUMENT

(F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average
(K)Total/(I)Total = (J)Average
SUMMARY OF INFORMATION COLLECTION
AMS-71
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6
(04-00)
Electronic
versions
designed
using
Word
Perfect;
years, list as "1/6" & decimal will display.
InForms; Microsoft Excel by USDA-AMS.

15,218.00

5,037.91

0

0.00

OMB NO.

0581-0125
USDA-AMS

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

REPRODUCE
LOCALLY.
Include form number and date on all reproductions.
(K)Total/(I)Total
= (J)Average

(H)Total/(F)Total = (G)Average
SUMMARY OF INFORMATION COLLECTION

DATE PREPARED

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.

Page 6 of 6

June 17, 2019
ANNUAL BURDEN

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

REPORTS

RECORDS
TOTAL

SECTION OF

DESCRIPTION

REGS.

FORMS NO (S)

NO. OF

NO OF

TOTAL ANNUAL

(If "none"

RESPONDENTS

RESPONSES

RESPONSES

PER

PER

(Col. D x E)

RESPONSE

so state)

HOURS

TOTAL

NO. OF

ANNUAL

RECORD-

HOURS

RECORD-

HOURS PER

KEEPING HOURS

(Col. F x G)

KEEPERS

RECORD-

(Col. I x J)

RESPONDENT
(A)

51.6

(B)

(C)

Vendor Form (New)

(D)

(E)

KEEPER
(F)

(G)

(H)

(I)

(J)

(K)

SC-430

1,500

1.0000

1,500.00

0.3000

450.00

0.00

Order form for Equipment & Micelaneous Items SC-380

584

1.0000

584.00

0.0833

48.65

0.00

Alternate Payment Form

SC-387

708

1.0000

708.00

0.0833

58.98

0.00

Notification of Entry

SC-357

48,600

1.0000

48,600.00

0.0833

4,048.38

0.00

0.00

0.00

0.00

0.00

0.00

0.00

51,392.00

4,606.00

SUBTOTAL

51,392

SUMMARY OF INFORMATION COLLECTION
AMS-71
(04-00) Electronic versions designed using Word Perfect;
InForms; Microsoft Excel by USDA-AMS.

0

0.00

USDA-AMS