Information Collection

Reporting Requirements - Private Sector

IC 2658 under ICR 202112-0581-001 · OMB 0581-0126.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DA-155 Reporting Requirements - Private Sector	Form
DA-155 Application to use Official Identification/Labels DA-155 Application - Official Identification-Grade Labels 8-8-18.pdf www.ams.usda.gov/resources/forms#dairy	Form
DA-156 Request to Display Official Identification/Labels DA-156 Request to Display Official Identification-Grade Labels 8-8-18.pdf www.ams.usda.gov/resources/forms#dairy	Form
DA-201C Cheese Graders Memorandum DA-201C.pdf	Form
DA-201B Application for Butter Grading Service DA-201B Application for Butter Grading Service 8-8-18.pdf	Form
DA-157 Request to Validate Prior Meat & PY Equipment Acceptance DA-157 Request to Validate a Prior Meat-Poultry Equipment 8-8-18.pdf www.ams.usda.gov/resources/forms#dairy	Form
DA-162 Equipment Review Request DA-162 Equipment Review Request 8-8-18.pdf www.ams.usda.gov/resouces/forms#dairy	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 54

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DA-155	Application to use Official Identification/Labels	DA-155 Application - Official Identification-Grade Labels 8-8-18.pdf	www.ams.usda.gov/resources/forms#dairy	Yes	No	Fillable Printable
Form	DA-156	Request to Display Official Identification/Labels	DA-156 Request to Display Official Identification-Grade Labels 8-8-18.pdf	www.ams.usda.gov/resources/forms#dairy	Yes	No	Fillable Printable
Form	DA-201C	Cheese Graders Memorandum	DA-201C.pdf		No		Printable Only
Form	DA-201B	Application for Butter Grading Service	DA-201B Application for Butter Grading Service 8-8-18.pdf		No		Paper Only
Form	DA-157	Request to Validate Prior Meat & PY Equipment Acceptance	DA-157 Request to Validate a Prior Meat-Poultry Equipment 8-8-18.pdf	www.ams.usda.gov/resources/forms#dairy	Yes	No	Fillable Printable
Form	DA-162	Equipment Review Request	DA-162 Equipment Review Request 8-8-18.pdf	www.ams.usda.gov/resouces/forms#dairy	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 307

Number of Respondents for Small Entity: 18

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	11,389	11,389
Annual IC Time Burden (Hours)	1,027	1,027
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.