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-I: 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. |
0560-0289 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| National Organic Program: Organic Certification Cost Share Program |
|
|
|
|
|
|
|
|
| DATE PREPARED |
|
|
|
|
|
|
|
| September 12, 2019 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
|
ANNUAL BURDEN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
REPORTS |
|
RECORDS |
RESPONDENT COST |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTAL BURDEN HOURS |
|
|
TOTAL |
|
|
|
|
|
|
|
|
|
|
|
|
FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
(Col. F x G) |
NO. OF |
ANNUAL |
RECORD- |
COST |
TOTAL |
|
|
|
|
| SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
(H) |
RECORD- |
HOURS PER |
KEEPING HOURS |
PER |
COST |
|
|
|
|
| REGS. |
|
|
|
|
|
so state) |
|
PER |
(Col. D x E) |
RESPONSE |
|
|
KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
|
|
|
|
|
|
|
|
|
|
|
|
RESPONDENT |
|
|
EXEMPT |
NON-EXEMPT |
|
KEEPER |
|
|
|
|
|
|
|
| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
|
|
(I) |
(J) |
(K) |
(L) |
(M) |
|
|
|
|
| N/A |
Grant Agreement Face sheets (States) |
none |
34 |
1 |
34 |
2.00 |
|
68 |
|
|
|
$24.34 |
1,655 |
|
|
|
re |
| N/A |
Request for Advance of Reimbursement (States) (OMB No. 4040-12) |
SF-270 |
34 |
6 |
204 |
1.00 |
|
204 |
|
|
|
$24.34 |
4,965 |
|
|
|
|
| N/A |
Application for Federal Assistance (States) (OMB No. 4040-0003) |
SF-424 |
34 |
1 |
34 |
1.00 |
|
34 |
|
|
|
$24.34 |
828 |
|
|
|
|
| N/A |
Federal Financial Report (States) OMB No 4040-0014) |
SF-425 |
34 |
1 |
34 |
1.50 |
|
51 |
|
|
|
$24.34 |
1,241 |
|
|
|
|
| N/A |
Narrative Report (States) |
none |
34 |
1 |
34 |
1.00 |
|
34 |
|
|
|
$24.34 |
828 |
|
|
|
|
| N/A |
Spreadsheet of Operations Reimbursed (States) |
none |
34 |
1 |
34 |
2.00 |
|
68 |
|
|
|
$24.34 |
1,655 |
|
|
|
|
| N/A |
Request for Taxpayer ID and Cert. W-9 |
W-9 |
34 |
1 |
34 |
2.00 |
|
66 |
|
|
|
$24.35 |
1,607 |
|
|
|
|
| N/A |
OCCSP Appliciation - Producer and/or handler application (farms) |
CCC-884 |
15,625 |
1 |
15,625 |
1.00 |
|
15,625 |
|
|
|
$10.90 |
170,313 |
|
|
|
|
| N/A |
Producer and/or handler Proof USDA Organic certification |
Documentation |
15,625 |
1 |
15,625 |
1.00 |
|
15,625 |
|
|
|
$10.90 |
16,331 |
|
|
|
|
| N/A |
Producer and/or handler Itemized invocie of paid expenses (Farms) |
AD-2047 or W-9 |
15,625 |
1 |
15,625 |
1.00 |
|
15,625 |
|
|
|
$10.90 |
170,313 |
|
|
|
|
| N/A |
Producer and/or handler tax information (OMB NO. 0560-0265 and 0560-0289) (Farms) |
SF-1199A |
15,625 |
1 |
15,625 |
1.00 |
|
15,625 |
|
|
|
$10.90 |
170,313 |
|
|
|
|
|
Direct Deposit Sign-up form (farms) OMB No. 1530-0006) |
|
15,625 |
1 |
15,625 |
1.00 |
|
15,625 |
|
|
|
$10.90 |
170,313 |
|
|
|
|
|
d |
|
|
|
78,533 |
|
|
78,650 |
|
|
0.00 |
|
710,360 |
|
|
|
|
|
TOTAL OF ALL PAGES |
|
|
|
78,533 |
|
|
78,650 |
|
|
0.00 |
|
710,360 |
|
|
|
|
| TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c |
|
|
|
78,533 |
|
|
78,650 |
|
|
|
|
|
|
|
|
|