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. | |||||||||||||||
Export Inspection and Weighing Waiver for High Quality Specialty Grains Transported in Containers. | 0581-0306 | ||||||||||||||||
DATE PREPARED | |||||||||||||||||
August 10, 2021 | |||||||||||||||||
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) | |||||||
Grain Standard Act | Recordkeeping | "none" | 0.00 | 0.00 | 40 | 6.000 | 240.00 | ||||||||||
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 | 40.00 | 240.00 | |||||||||||||
TOTAL OF ALL PAGES | 0.00 | 0.00 | 40.00 | 240.00 | |||||||||||||
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 40.00 | 240.00 | |||||||||||||||
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 | |||||||||||||
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 | |||||||||||||
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 | Gilham, Norma - AMS |
File Modified | 2021-08-11 |
File Created | 2000-01-10 |