| |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||
| National Research, Promotion, and Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| DESIGNATED HANDLERS OR MONTHLY ASSESSMENT REPORT | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1218.60 | Blueberry (First Handler Report) | BLU-FHR | 80.00 | 1.00 | 80.00 | 0.50 | 40.00 | 0.00 | ||||||
| 1218.60 | Blueberry (Grower Report) | BLU-GRF | 2,000.00 | 1.00 | 2,000.00 | 0.50 | 1,000.00 | 0.00 | ||||||
| 1260.311(f) | Beef (Producer Consent to Fund) -- NEW | LP-2 | 500.00 | 1.00 | 500.00 | 0.08 | 41.50 | 0.00 | ||||||
| 1260.201 | Beef (Certification of Producer Directed Payment of Cattle Assessments) -- NEW | LP-9 | 10.00 | 5.00 | 50.00 | 0.20 | 10.00 | 0.00 | ||||||
| 1260.172(a)(5) | Beef (Monthly Remittance for All Cattle Purchased and Marketed) -- Form Number Assigned | LP-10 | 5,000.00 | 12.00 | 60,000.00 | 1.00 | 60,000.00 | 0.00 | ||||||
| 1260.172(2) | Beef (Private Treaty Sales Checkoff Investment) | LP-104 | 12,000.00 | 1.00 | 12,000.00 | 0.03 | 360.00 | 0.00 | ||||||
| 1260.181 | Beef (Producer Redirection of Checkoff Assessments) -- NEW | QSBC-1 | 100.00 | 1.00 | 100.00 | 0.08 | 8.30 | 0.00 | ||||||
| 1205.331, 334, 335, 336, .511, .512, .514, .516, & .531 | Cotton (Collecting Handler Report) (Paper Version) -- Form Number Assigned | CB-1 | 214.00 | 7.00 | 1,498.00 | 0.50 | 749.00 | 0.00 | ||||||
| 1205.331, 334, 335, 336, .511, .512, .514, .516, & .531 | Cotton (Collecting Handler Report) (Electronic version, burden included with paper version) | No Form Number | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||
| 1205.530 | Cotton (Cotton Board End-of-Season Ginning Report) (Paper Version) -- Form Number Assigned | CB-4 R1 | 512.00 | 1.00 | 512.00 | 0.50 | 256.00 | |||||||
| 1205.530 | Cotton (Cotton Board End-of-Season Ginning Report) (Electronic version, burden included with paper version) -- NEW | No Form Number | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||
| SUBTOTAL | 30.00 | 76,740.00 | 3.40 | 62,464.80 | 0.00 | |||||||||
| TOTAL OF ALL PAGES | 353,934.47 | 50 | 131,260.73 | 66,461.00 | 16,678.56 | |||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 420,395.47 | 147,939.29 | ||||||||||||
| 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. | ||||||||||||
| National Research, Promotion, and Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| DESIGNATED HANDLERS OR MONTHLY ASSESSMENT REPORT (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1205.516 | Cotton (No Cotton Purchased Report) (No burden, signature only) | No Form | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||
| 1150.171 | Dairy (Producer Monthly Report and Remittance Report) | DA-20 | 634.00 | 12.00 | 7,608.00 | 0.50 | 3,804.00 | 0.00 | ||||||
| 1160.401 | Dairy (Processor Monthly Report and Remittance Report) | DA-20R | 212.00 | 12.00 | 2,544.00 | 0.50 | 1,272.00 | 0.00 | ||||||
| 1250.519 | Eggs (Statement of Delinquent Handler Accounts) (No burden determined; Used to show outsanding assesment payments) | No Form | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||
| 1250.347, .349, .352, .515, .516, & .529 | Eggs (Collecting Handler Report) -- Form Number Assigned | LP-6 | 159.00 | 12.00 | 1,908.00 | 0.16 | 305.28 | 0.00 | ||||||
| 1250.528 | Eggs (Collecting Handler Registration Statement) -- Form Number Assigned | LP-5 | 2.00 | 3.00 | 6.00 | 0.16 | 0.96 | 0.00 | ||||||
| 1219.60(b) | Hass Avocado (First Handler Report) | AVO-FHR | 20.00 | 12.00 | 240.00 | 0.50 | 120.00 | 0.00 | ||||||
| 1212.70 | Honey (First Handler's Report) | HON-FHR | 50.00 | 12.00 | 600.00 | 0.50 | 300.00 | 0.00 | ||||||
| 1212.70 | Honey (National Honey Board Confidential Questionnaire) -- NEW | HON-HIQ | 886.00 | 1.00 | 886.00 | 0.25 | 221.50 | 0.00 | ||||||
| 1280.217, .218, .219, & .220 | Lamb (Remittance Report) | LP-81 | 500.00 | 12.00 | 6,000.00 | 1.00 | 6,000.00 | 0.00 | ||||||
| SUBTOTAL | 76.00 | 19,792.00 | 3.57 | 12,023.74 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| DESIGNATED HANDLERS OR MONTHLY ASSESSMENT REPORT (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1206.42 | Mangos (First Handler's Report) | MAN-FHR | 3.00 | 12.00 | 36.00 | 0.50 | 18.00 | 0.00 | ||||||
| 1209.260 | Mushrooms (First Handler Report) | MUS-FHR | 80.00 | 12.00 | 960.00 | 0.50 | 480.00 | 0.00 | ||||||
| 1222.52 | Paper (Manufacturer/Import Quarterly Report) | PAP-PIQ | 70.00 | 4.00 | 280.00 | 0.50 | 140.00 | 0.00 | ||||||
| 1216.60 | Peanuts (First Handler Report) | PEA-FHR | 24.00 | 12.00 | 288.00 | 0.50 | 144.00 | 0.00 | ||||||
| 1215.60 | Popcorn (Quarterly Report) | POP-FHR | 23.00 | 4.00 | 92.00 | 0.50 | 46.00 | 0.00 | ||||||
| 1203.71(b)(3) | Pork (Pork Promotion Investment Report--Monthly) (same report used for Monthly & Quarterly reporting) | LP-101 | 1,000.00 | 12.00 | 12,000.00 | 1.00 | 12,000.00 | 0.00 | ||||||
| 1203.71(b)(3) | Pork (Pork Promotion Investment Report--Quarterly) (same report used for Monthly & Quarterly reporting) | LP-101 | 1,000.00 | 4.00 | 4,000.00 | 1.00 | 4,000.00 | 0.00 | ||||||
| 1207.350 | Potatoes (Designated Handler Report) | POT-FHR | 603.00 | 12.00 | 7,236.00 | 0.50 | 3,618.00 | 0.00 | ||||||
| 1217.52 | Softwood Lumber (Shipment/Import Quarterly Report) | SWL-SIQ | 255.00 | 4.00 | 1,020.00 | 0.50 | 510.00 | 0.00 | ||||||
| SUBTOTAL | 76.00 | 25,912.00 | 5.50 | 20,956.00 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| DESIGNATED HANDLERS OR MONTHLY ASSESSMENT REPORT (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1221.116 | Sorghum (Report and Remittance of Amount Collected and Due on Sorghum Purchased) | LP-378 | 1,850.00 | 12.00 | 22,200.00 | 0.25 | 5,550.00 | 0.00 | ||||||
| 1220.223 | Soybeans (Report and Remittance of Amount Collected and Due on Soybeans Purchased) (LP-46-Users with first time recordkeeping systems; & LP-46-1 first time purchasers that cannot supply information required on primary remittance form) | LP-46 or LP-46-1 | 5,000.00 | 4.00 | 20,000.00 | 1.00 | 20,000.00 | 0.00 | ||||||
| 1220.228 | Soybeans (Producer Redirection of Checkoff Assessments for Soybeans) -- NEW | QSSB-1 | 10.00 | 1.00 | 10.00 | 0.08 | 0.83 | 0.00 | ||||||
| 1210.350 | Watermelon (Designated Handlers Report) (If new handlers/producers need to be added, a supplemental page would be completed) Paper version. | WAT-FHR | 300.00 | 4.00 | 1,200.00 | 0.75 | 900.00 | 0.00 | ||||||
| 1210.350 | Watermelon (Designated Handlers Report) (Electronic version) Burden accounted for under paper version. | WAT-EFH | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||
| Importer Report (No forms--Per AMS regs. U.S. Customs & Border Protection collects the information at the port of entry & if requested send information to Boards) | No Form | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||
| REFERENDUM BALLOT | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1260.000 | Beef (Ballot and Envelope) (Burden hour is a placeholder for future use.) -- NEW | LP-32 | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | ||||||
| SUBTOTAL | 21.00 | 43,410.00 | 2.08 | 26,451.83 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| REFERENDUM BALLOT (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1218.105 | Blueberry (Official Referendum Ballot) | SC-261 | 1,653.00 | 0.20 | 330.60 | 0.25 | 82.65 | 0.00 | ||||||
| 1205.30 | Cotton (Continuance Referendum) (Attachments A, B, C, & D) | CN-100 | 40,888.00 | 0.20 | 8,177.60 | 0.10 | 817.76 | 0.00 | ||||||
| 1150.207 | Dairy (Continuance Referendum) (Burden hour is a placeholder for future use.) | DA-21 | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | ||||||
| 1160.501 | Fluid Milk (Continuance Referendum) (Burden hour is a placeholder for future use.) | DA-21-R | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | ||||||
| 1250.200-.207 | Eggs (Registration, Ballot, and Certification) (Burden hour is a placeholder for future use. ) | LP-1 | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | ||||||
| 1219.104(c) | Hass Avocados (Official Referendum Ballot) | AVO-ORB | 5,200.00 | 0.13 | 676.00 | 0.25 | 169.00 | 0.00 | ||||||
| 1219.104(c) | Hass Avocados (Referendum Registration) | SC-326 | 5,200.00 | 0.13 | 676.00 | 0.25 | 169.00 | 0.00 | ||||||
| 1212.81 | Honey (Official Referendum Ballot) | HON-ORB | 150.00 | 0.20 | 30.00 | 0.25 | 7.50 | |||||||
| 1206.71 | Mangos (Official Referendum Ballot) | MAN-ORB | 100.00 | 0.20 | 20.00 | 0.25 | 5.00 | 0.00 | ||||||
| SUBTOTAL | 1.06 | 9,910.20 | 1.35 | 1,253.91 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| REFERENDUM BALLOT (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1209.302 | Mushrooms (Official Referendum Ballot) | SC-229 | 125.00 | 0.20 | 25.00 | 0.25 | 6.25 | 0.00 | ||||||
| 1222.105 | Paper (Official Referendum Ballot) | PAP-ORB | 70.00 | 0.14 | 9.80 | 0.25 | 2.45 | 0.00 | ||||||
| 1216.105 | Peanuts (Official Referendum Ballot) | SC-258 | 7,200.00 | 0.20 | 1,440.00 | 0.25 | 360.00 | 0.00 | ||||||
| 1215.502 | Popcorn (Official Referendum Ballot) | POP-ORB | 23.00 | 0.33 | 7.67 | 0.25 | 1.92 | 0.00 | ||||||
| 1207.362 | Potatoes (Official Referendum Ballot) | POT-ORB | 4,000.00 | 0.11 | 444.40 | 0.25 | 111.10 | 0.00 | ||||||
| 1217.105 | Softwood Lumber (Official Referendum Ballot) | SWL-ORB | 255.00 | 0.14 | 35.70 | 0.25 | 8.93 | 0.00 | ||||||
| 1221.130 | Sorghum (Ballot) | LP-379 | 8,300.00 | 0.20 | 1,660.00 | 0.10 | 166.00 | 0.00 | ||||||
| 1220.615(b) | Soybeans (Ballot and Envelope) (Burden hour is a placeholder for future use.) | LP-49 | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | ||||||
| 1210.363 | Watermelon (Official Referendum Ballot) | WAT-ORB | 1,100.00 | 0.13 | 137.50 | 0.25 | 34.38 | 0.00 | ||||||
| SUBTOTAL | 1.45 | 3,760.07 | 1.85 | 692.02 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| REQUEST FOR REFERENDUM | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1220.620 | Soybeans (Request for Referendum) (Used every 5 years) | LP-51-1 | 100,000.00 | 0.20 | 20,000.00 | 0.10 | 2,000.00 | 0.00 | ||||||
| APPLICATION ASSESSMENT EXEMPTION FOR PRODUCER OR IMPORTER (Certificate of Exemption issued if qualified, no burden) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1218.53 | Blueberry (Application for Exemption from Assessment) | BLU-AAE | 150.00 | 1.00 | 150.00 | 0.25 | 37.50 | 0.00 | ||||||
| 1205.520 | Cotton (Application for Reimbursement of Assessment on Imported Cotton & Cotton Content of Imported Products) | No Form Number | 36.00 | 1.00 | 36.00 | 0.50 | 18.00 | 0.00 | ||||||
| 1205.510 | Cotton (Application for Exemption of Assessment on Imported Cotton & Cotton Content of Imported Products) | No Form Number | 28.00 | 1.00 | 28.00 | 0.50 | 14.00 | 0.00 | ||||||
| 1250.348 & .530 | Eggs (Certificate of Laying Hens Exemption) -- Form Number Assigned and Name of Form Revised | LP-3 | 40.00 | 1.00 | 40.00 | 0.17 | 6.64 | 0.00 | ||||||
| 1212.53(c) | Honey (Application for a Certificate of Exemption) | HON-AAE | 50.00 | 1.00 | 50.00 | 0.25 | 12.50 | 0.00 | ||||||
| SUBTOTAL | 5.20 | 20,304.00 | 1.77 | 2,088.64 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| APPLICATION ASSESSMENT EXEMPTION FOR PRODUCER OR IMPORTER (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1206.43 | Mangos (Application for a Certificate of Exemption) | MAN-AAE | 10.00 | 1.00 | 10.00 | 0.25 | 2.50 | 0.00 | ||||||
| 1209.52 | Mushrooms (Application for a Certificate of Exemption) | MUS-AAE | 75.00 | 1.00 | 75.00 | 0.25 | 18.75 | 0.00 | ||||||
| 1222.53 | Paper (Application for Exemption from Assessment) | PAP-AAE | 2,000.00 | 1.00 | 2,000.00 | 0.25 | 500.00 | 0.00 | ||||||
| 1215.300 | Popcorn (Application for a Certificate of Exemption) | POP-AAE | 20.00 | 1.00 | 20.00 | 0.25 | 5.00 | 0.00 | ||||||
| 1217.53 | Softwood Lumber (Application for Exemption from Assessment) | SWL-AAE | 773.00 | 1.00 | 773.00 | 0.25 | 193.25 | 0.00 | ||||||
| STATUS OF CERTIFICATION OF NON-PRODUCER STATUS | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1250.314 | Beef (Application (Request) for Use of a Stamp to Certifiy Non-Producer Status) -- NEW | LP-8 | 5.00 | 1.00 | 5.00 | 0.33 | 1.65 | 0.00 | ||||||
| SUBTOTAL | 6.00 | 2,883.00 | 1.58 | 721.15 | 0.00 | 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. | ||||||||||||
| 0581-0093 | ||||||||||||||
| National Research, Promotion, & Consumer Information Programs | ||||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| STATUS OF CERTIFICATION OF NON-PRODUCER STATUS (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1250.314 | Beef (Certification of Non-Producer Status for the Reseller Stamp) -- Form Number Assigned | LP-30 | 51.00 | 1,040.00 | 53,040.00 | 0.01 | 424.32 | 0.00 | ||||||
| 1260.314 | Beef (Certification of Non-Producer Status (For the Reseller)) -- Form Number Assigned | LP-11 | 1,500.00 | 36.00 | 54,000.00 | 0.03 | 1,620.00 | 0.00 | ||||||
| 1280.407 | Lamb (Certification of Non-Roducer Status (For the Seller)) | LP-78 | 3,318.00 | 12.00 | 39,816.00 | 0.03 | 1,194.48 | 0.00 | ||||||
| 1220.241 | Soybeans (Statement of Certification of Non-Producer Status) | LP-48 | 20.00 | 1.00 | 20.00 | 0.03 | 0.67 | 0.00 | ||||||
| APPLICATION FOR REFUND (When needed, letter submitted to request reimbursement) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1218.53 | Blueberry (Request letter for reimbursement) | No Form | 45.00 | 1.00 | 45.00 | 0.25 | 11.25 | 0.00 | ||||||
| 1212.53(e) | Honey (Application for Reimbursement of Assessment) | HON-AFR | 30.00 | 1.00 | 30.00 | 0.25 | 7.50 | 0.00 | ||||||
| 1206.43 | Mangos (Application for Reimbursement of Assessment) | MAN-AFR | 10.00 | 1.00 | 10.00 | 0.25 | 2.50 | 0.00 | ||||||
| SUBTOTAL | 1,092.00 | 146,961.00 | 0.85 | 3,260.72 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | , | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||
| APPLICATION FOR REFUND (cont'd) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1209.52 | Mushrooms (Importer Application for Refund of Assessment) | MUS-AFR | 10.00 | 1.00 | 10.00 | 0.25 | 2.50 | 0.00 | ||||||
| 1222.53 | Paper (Application for Refund of Assessment Paid) | PAP-AFR | 10.00 | 1.00 | 10.00 | 0.25 | 2.50 | 0.00 | ||||||
| 1217.53 | Softwood Lumber (Application for Refund of Assessment Paid) | SWL-AFR | 1.00 | 1.00 | 1.00 | 0.25 | 0.25 | 0.00 | ||||||
| 1210.520 | Watermelon (Request letter for reimbursement) | No Form | 0.00 | 1.00 | 0.00 | 0.25 | 0.00 | 0.00 | ||||||
| ORGANIC EXEMPTION REQUEST FORM (Same form for all commodities; title modified to reflect each commodity) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1260.302 | Beef (Organic Exemption Request) | AMS-15 | 70.00 | 1.00 | 70.00 | 0.25 | 17.50 | 0.00 | ||||||
| 1218.53 | Blueberry (Organic Exemption Request) | AMS-15 | 200.00 | 1.00 | 200.00 | 0.25 | 50.00 | 0.00 | ||||||
| 1205.519 | Cotton (Organic Exeption Request) | AMS-15 | 1.00 | 1.00 | 1.00 | 0.25 | 0.25 | 0.00 | ||||||
| 1150.157 | Dairy (Organic Exemption Request) | AMS-15 | 1,490.00 | 1.00 | 1,490.00 | 0.25 | 372.50 | 0.00 | ||||||
| SUBTOTAL | 8.00 | 1,782.00 | 2.00 | 445.50 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| ORGANIC EXEMPTION REQUEST FORM (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1250.350 | Eggs (Organic Exemption Request) | AMS-15 | 20.00 | 1.00 | 20.00 | 0.25 | 5.00 | 0.00 | ||||||
| 1160.215 | Fluid Milk (Dairy Processor) (Organic Exemption Request) | AMS-15 | 25.00 | 1.00 | 25.00 | 0.25 | 6.25 | 0.00 | ||||||
| 1219.202 | Hass Avocados (Organic Exemption Request) | AMS-15 | 300.00 | 1.00 | 300.00 | 0.25 | 75.00 | 0.00 | ||||||
| 1212.53(b) | Honey (Organic Exemption Request) | AMS-15 | 20.00 | 1.00 | 20.00 | 0.25 | 5.00 | 0.00 | ||||||
| 1280.406 | Lamb (Organic Exemption Request) | AMS-15 | 40.00 | 1.00 | 40.00 | 0.25 | 10.00 | 0.00 | ||||||
| 1206.202 | Mangos (Organic Exemption Request) | AMS-15 | 100.00 | 1.00 | 100.00 | 0.25 | 25.00 | 0.00 | ||||||
| 1209.252 | Mushrooms (Organic Exemption Request) | AMS-15 | 120.00 | 1.00 | 120.00 | 0.25 | 30.00 | 0.00 | ||||||
| 1222.53 | Paper (Organic Exemption Request) | AMS-15 | 1.00 | 1.00 | 1.00 | 0.25 | 0.25 | 0.00 | ||||||
| 1216.56 | Peanuts (Organic Exemption Request) | AMS-15 | 0.00 | 1.00 | 0.00 | 0.25 | 0.00 | 0.00 | ||||||
| SUBTOTAL | 9.00 | 626.00 | 2.25 | 156.50 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| ORGANIC EXEMPTION REQUEST FORM (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1215.300 | Popcorn (Organic Exemption Request) | AMS-15 | 2.00 | 1.00 | 2.00 | 0.25 | 0.50 | 0.00 | ||||||
| 1230.102 | Pork (Organic Exemption Request) | AMS-15 | 18.00 | 1.00 | 18.00 | 0.25 | 4.50 | 0.00 | ||||||
| 1207.514 | Potatoes (Organic Exemption Request) | AMS-15 | 150.00 | 1.00 | 150.00 | 0.25 | 37.50 | 0.00 | ||||||
| 1217.53 | Softwood Lumber (Organic Exemption Request) | AMS-15 | 1.00 | 1.00 | 1.00 | 0.25 | 0.25 | 0.00 | ||||||
| 1221.117 | Sorghum (Organic Exemption Request) | AMS-15 | 10.00 | 1.00 | 10.00 | 0.25 | 2.50 | 0.00 | ||||||
| 1220.302 | Soybeans (Organic Exemption Request) | AMS-15 | 100.00 | 1.00 | 100.00 | 0.25 | 25.00 | 0.00 | ||||||
| 1210.516 | Watermelon (Organic Exemption Request) | AMS-15 | 10.00 | 1.00 | 10.00 | 0.25 | 2.50 | 0.00 | ||||||
| ORGANIC EXEMPTION -- FOR SELLER | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1260.302 | Beef (Certificate of Organic Exemption -- For the Seller) -- NEW | LP-29 | 25.00 | 10.00 | 250.00 | 0.10 | 25.00 | 0.00 | ||||||
| SUBTOTAL | 17.00 | 541.00 | 1.85 | 97.75 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| APPLICATION FOR CERTIFICATION OF ORGANIZATION | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1260.540(a) | Beef (Producer) (Application for Certification of Organication or Association) | LP-25 | 5.00 | 1.00 | 5.00 | 0.50 | 2.50 | 0.00 | ||||||
| 1260.540(b) | Beef (Importer) (Letter requesting certification. Includes a letter from association requesting approval to nominate importers) | No Form | 1.00 | 1.00 | 1.00 | 0.50 | 0.50 | 0.00 | ||||||
| 1205.341 | Cotton (Letter to be recognized as a Certified Producer Organization for purposes of the Cotton Research & Promotion Act) | No Form | 1.00 | 1.00 | 1.00 | 2.00 | 2.00 | 0.00 | ||||||
| 1150.273 | Dairy (Producer) (Burden hour is a placeholder for future use.) | No Form | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | ||||||
| 1160.114 | Dairy (Processor) (Burden hour is a placeholder for future use.) | No Form | 0.00 | 0.00 | 0.00 | 0.00 | 1.00 | 0.00 | ||||||
| 1150.153 | Dairy Producers and Importers (Application for Initial or Continued Qualification of State or Regional Dairy Product Promotion, Research, or Nutrition Education Program) | DA-15-CG | 66.00 | 1.00 | 66.00 | 3.00 | 198.00 | 0.00 | ||||||
| 1250.356 | Eggs (Egg Certification Request) -- Form Number Assigned | LP-4 | 5.00 | 0.20 | 1.00 | 1.00 | 1.00 | 0.00 | ||||||
| SUBTOTAL | 4.20 | 74.00 | 7.00 | 206.00 | 0.00 | 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. | ||||||||||||
| National Research, Promotion & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| APPLICATION FOR CERTIFICATION OF ORGANIZATION (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1212.42 | Honey (Application for Certification of Organization) | HON-ACO | 10.00 | 1.00 | 10.00 | 0.50 | 5.00 | 0.00 | ||||||
| 1280.206 | Lamb (Application for Certificiation of Organization) | LP-82 | 5.00 | 1.00 | 5.00 | 0.50 | 2.50 | 0.00 | ||||||
| 1216.70 | Peanuts (Application for Certificiation of Peanut Organization) | SC-265 | 24.00 | 1.00 | 24.00 | 0.50 | 12.00 | 0.00 | ||||||
| 1221.107 | Sorghum (Application for Certification to Make Nominations to the Sorghum Board) | LP-27 | 5.00 | 1.00 | 5.00 | 0.50 | 2.50 | 0.00 | ||||||
| 1221.128 | Sorghum (Application for Qualification of State Sorghum Board) -- Form Number Assigned | LP-31 | 5.00 | 1.00 | 5.00 | 0.50 | 2.50 | 0.00 | ||||||
| NOMINATIONS AND SELECTIONS | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||||
| 1260.143(a-d) | Beef (Nomination of Cattle Producers or Importers for Appointment to the Beef Board) | LP-26 or LP-26-1 | 80.00 | 1.00 | 80.00 | 0.50 | 40.00 | 0.00 | ||||||
| 1218.41 | Blueberry (State Region Nominee Application) | BLU-NAF | 18.00 | 1.00 | 18.00 | 0.50 | 9.00 | 0.00 | ||||||
| 1218.41 | Blueberry (Council Member Ballot) | BLU-NBF | 18.00 | 1.00 | 18.00 | 0.50 | 9.00 | 0.00 | ||||||
| 1150.133 | Dairy (Nomination of Milk Producers or Importers to Serve on the Dairy Board) | DA-19 | 31.00 | 1.00 | 31.00 | 0.50 | 15.50 | 0.00 | ||||||
| SUBTOTAL | 9.00 | 196.00 | 4.50 | 98.00 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| NOMINATIONS AND SELECTIONS (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1160.202 | Fluid Milk (Nomination of Milk Processors to Serve on the Fluid Board) | DA-19-1 | 15.00 | 1.00 | 15.00 | 0.50 | 7.50 | 0.00 | ||||||
| 1250.328(b) | Eggs (Nomination Form) (Areas alternate forms every other year) | AEB-1 | 3.00 | 1.00 | 3.00 | 0.50 | 1.50 | 0.00 | ||||||
| 1250.328(b) | Eggs (Nomination Form) (Areas alternate forms every other year) | AEB-2 | 3.00 | 1.00 | 3.00 | 0.50 | 1.50 | 0.00 | ||||||
| 1219.33 | Hass Avocados (Domestic) (Announcement of Open Seats on the Hass Avocado Board) | AVO-OPS | 40.00 | 0.33 | 13.20 | 0.25 | 3.30 | 0.00 | ||||||
| 1219.33 | Hass Avocados (Domestic) (Official Producer Ballot) | AVO-OPB | 1,000.00 | 0.33 | 330.00 | 0.25 | 82.50 | 0.00 | ||||||
| 1219.33 | Hass Avocados (Importer) (Announcement of Open Seats on the Hass Avocado Board) | AVO-OIS | 20.00 | 0.33 | 6.60 | 0.25 | 1.65 | 0.00 | ||||||
| 1219.33 | Hass Avocados (Official Importer Ballot) | AVO-OIB | 100.00 | 0.33 | 33.00 | 0.25 | 8.25 | 0.00 | ||||||
| 1219.33 | Hass Avocados (Notice) -- NEW | AVO-CNF | 40.00 | 1.00 | 40.00 | 0.10 | 4.00 | 0.00 | ||||||
| 1219.33 | Hass Avocados (Producer (Importer) Nominee Information) -- NEW | AVO-NIF | 40.00 | 1.00 | 40.00 | 0.25 | 10.00 | 0.00 | ||||||
| SUBTOTAL | 6.32 | 483.80 | 2.85 | 120.20 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| NOMINATIONS AND SELECTIONS (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1219.33 | Hass Avocados (Declaration of Producer Eligibility) -- NEW | AVO-PEF | 24.00 | 1.00 | 24.00 | 0.25 | 6.00 | 0.00 | ||||||
| 1219.33 | Hass Avocados (Declaration of Importer Eligibility) -- NEW | AVO-IEF | 16.00 | 1.00 | 16.00 | 0.25 | 4.00 | 0.00 | ||||||
| 1240.32(b) | Honey (Nomination for Appointment to the Honey Board) | HON-NOM | 25.00 | 1.00 | 25.00 | 0.50 | 12.50 | 0.00 | ||||||
| 1280.202 | Lamb (Nomination for Appointment to the Lamb Board) | LP-84 | 10.00 | 1.00 | 10.00 | 0.50 | 5.00 | 0.00 | ||||||
| 1206.31 | Mangos (Nomination to Serve on Mango Board) (In three languages--English, Spanish, & Portuguese) | MAN-NOM | 65.00 | 0.33 | 21.45 | 0.25 | 5.36 | 0.00 | ||||||
| 1206.31 | Mangos (Nomination Ballot for domestic producer, first handlers, & importers) | MAN-BAL | 65.00 | 0.33 | 21.45 | 0.25 | 5.36 | 0.00 | ||||||
| 1209.31 | Mushrooms (Nomination Form) | MUS-NFC | 18.00 | 0.33 | 5.94 | 0.50 | 2.97 | 0.00 | ||||||
| 1209.31 | Mushrooms (Mail Ballot) | MUS-NBF | 18.00 | 0.33 | 5.95 | 0.50 | 2.97 | 0.00 | ||||||
| SUBTOTAL | 5.32 | 129.79 | 3.00 | 44.17 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| NOMINATIONS AND SELECTIONS (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 63.101 | Sheep Center (Nominations to the National Sheep Improvement CenterBoard) -- NEW | LP-87 | 10.00 | 1.00 | 10.00 | 0.50 | 5.00 | 0.00 | ||||||
| 1222.41 | Paper (Nomination for Appointment to the Paper Board) | PAP-NOM | 20.00 | 1.00 | 20.00 | 0.25 | 5.00 | 0.00 | ||||||
| 1222.41 | Paper (SC Sample Form (Nominee Background Form/Statement)) | No Form Number | 20.00 | 1.00 | 20.00 | 0.25 | 5.00 | 0.00 | ||||||
| 1216.41 | Peanuts (No form; the burden is for acclamation voting at nomination meeting) | No Form | 40.00 | 0.33 | 13.20 | 0.50 | 6.60 | 0.00 | ||||||
| 1215.22 | Popcorn (Nomination of Popcorn Processors to Serve on the Popcorn Board) | SC-270 | 10.00 | 0.33 | 3.30 | 0.50 | 1.65 | 0.00 | ||||||
| 1230.31 | Pork (Nomination of Pork Producers or Importers for Appointment to the National Pork Producers Delegate Body) | LP-35 | 75.00 | 1.00 | 75.00 | 0.50 | 37.50 | 0.00 | ||||||
| 1207.322 | Potatoes (Burden is for acclamation voting at nomination meeting) | No Form | 214.00 | 0.33 | 70.62 | 0.50 | 35.31 | 0.00 | ||||||
| 1217.41 | Softwood Lumber (Nomination for Appointment to the Softwood Lumber Board) | SWL-NOM | 50.00 | 1.00 | 50.00 | 0.25 | 12.50 | 0.00 | ||||||
| SUBTOTAL | 5.99 | 262.12 | 3.25 | 108.56 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | 0581-0093 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| NOMINATIONS AND SELECTIONS (cont'd.) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1217.41 | Softwood Lumber (SC Sample Form (Nominee Background Form/Statement)) | No Form Number | 50.00 | 1.00 | 50.00 | 0.25 | 12.50 | 0.00 | ||||||
| 1221.101 | Sorghum (Nomination of Sorghum Producers for Appointment to the Sorghum Board) -- Form Number Assigned | LP-15 | 5.00 | 1.00 | 5.00 | 0.50 | 2.50 | 0.00 | ||||||
| 1220.203 | Soybeans (Nomination of Soybean Producers for Appointment to the Soybean Board) | LP-45R | 30.00 | 1.00 | 30.00 | 0.50 | 15.00 | 0.00 | ||||||
| 1210.321 | Watermelon (Burden is for acclamation voting at nomination meeting) | No Form | 250.00 | 0.33 | 82.50 | 0.50 | 41.25 | 0.00 | ||||||
| BACKGROUND QUESTIONNAIRE INFORMATION FORM FOR NOMINEES (Burden covered under OMB No. 0505-0001) (See AD-755 grid under Supplementary) | AD-755 | 741.00 | 1.00 | 741.00 | 0.50 | 370.50 | 0.00 | |||||||
| 1260.144, 1150.134, 1160.203, 1250.330, 1209.32, 1280.203, 1215.23, 1220.205, 1207.323, 1221.102, 1210.323, & 63.102 | SAMPLE ACCEPTANCE (Agreement to Serve)(Boards: Beef, Dairy, Eggs, Lamb, Mushrooms, Popcorn, Pork, Potatoes, Sheep Center, Soybeans, Sorghum, & Watermelon) No burden - signature only required. | No Form | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||||||
| SUBTOTAL | 3.33 | 167.50 | 1.75 | 71.25 | 0.00 | 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. | ||||||||||||
| National Research, Promotion, & Consumer Information Programs | ||||||||||||||
| 0581-0093 | ||||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| RECORDKEEPING REQUIREMENTS | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1218.61 | Blueberry | 0.00 | 0.00 | 1,607.00 | 0.50 | 803.50 | ||||||||
| 1205.338 | Cotton | 0.00 | 0.00 | 304.00 | 0.25 | 76.00 | ||||||||
| 1150.172 | Dairy (Producer) | 0.00 | 0.00 | 600.00 | 0.20 | 120.00 | ||||||||
| 1160.402 | Dairy (Processor) | 0.00 | 0.00 | 410.00 | 0.20 | 82.00 | ||||||||
| 1250.535 | Eggs | 0.00 | 0.00 | 438.00 | 0.02 | 8.76 | ||||||||
| 1219.61 | Hass Avocados | 0.00 | 0.00 | 5,200.00 | 0.50 | 2,600.00 | ||||||||
| SUBTOTAL | 0.00 | 0.00 | 8,559.00 | 3,690.26 | ||||||||||
| 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. | ||||||||||||
| National Research, Promotion & Consumer Information Programs | ||||||||||||||
| 0581-0093 | ||||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| RECORDKEEPING REQUIREMENTS (cont'd) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1240.51 | Honey | 0.00 | 0.00 | 500.00 | 0.50 | 250.00 | ||||||||
| 1206.60 | Mangos | 0.00 | 0.00 | 400.00 | 0.50 | 200.00 | ||||||||
| 1209.61 | Mushrooms | 0.00 | 0.00 | 150.00 | 0.50 | 75.00 | ||||||||
| 1222.71 | Paper | 0.00 | 0.00 | 2,200.00 | 0.50 | 1,100.00 | ||||||||
| 1216.61 | Peanuts | 0.00 | 0.00 | 7,200.00 | 0.50 | 3,600.00 | ||||||||
| 1215.61 | Popcorn | 0.00 | 0.00 | 20.00 | 0.50 | 10.00 | ||||||||
| SUBTOTAL | 0.00 | 0.00 | 10,470.00 | 5,235.00 | ||||||||||
| 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. | ||||||||||||
| National Research, Promotion & Consumer Information Programs | ||||||||||||||
| 0581-0093 | ||||||||||||||
| DATE PREPARED | ||||||||||||||
| July 9, 2020 | ||||||||||||||
| 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) | ||||
| RECORDKEEPING REQUIREMENTS (cont'd) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| 1207.351 | Potatoes | 0.00 | 0.00 | 4,000.00 | 0.50 | 2,000.00 | ||||||||
| 1217.71 | Softwood Lumber | 0.00 | 0.00 | 1,400.00 | 0.50 | 700.00 | ||||||||
| 1221.124 & .125 | Sorghum | 0.00 | 0.00 | 35,022.00 | 0.10 | 3,502.20 | ||||||||
| 1220.312 & .228 | Soybeans | 0.00 | 0.00 | 5,010.00 | 0.11 | 551.10 | ||||||||
| 1210.351 | Watermelon | 0.00 | 0.00 | 2,000.00 | 0.50 | 1,000.00 | ||||||||
| NOTE: Other recordkeeping requirements for the Beef & Pork programs are already approved under the Packers & Stockyards Administration | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||||||
| SUBTOTAL | 0.00 | 0.00 | 47,432.00 | 7,753.30 | ||||||||||
| 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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. | ||||||||||||
| 0581-0093 | ||||||||||||||
| DATE PREPARED | ||||||||||||||
| 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 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 | 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) | ||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0 | 0.00 | ||||||||||
| File Type | application/vnd.ms-excel |
| Author | user |
| Last Modified By | Pish, Marylin - AMS |
| File Modified | 2020-07-21 |
| File Created | 2000-01-10 |