| 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. | |||||||||||||||
| Local Food Purchase Assistance Cooperative Agreement Program (LFPA) | 0581-0330 | ||||||||||||||||
| DATE PREPARED | |||||||||||||||||
| December 15, 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) | |||||||
| 7 USC 1621 & 2 CFR 200 | STANDARDIZED FORMS FOR ALL AMS GRANT PROGRAMS (Line entry represents totals only for Local Food Purchase Assistance Cooperative Agreement Program (LFPA)) (NEW) | 0.00 | 0.00 | 0.00 | |||||||||||||
| Amendment to cooperative agreement | AMS-20-3 | 75 | 2.0000 | 150.00 | 1.0000 | 150.00 | 0.00 | ||||||||||
| Application for Federal Assitance (approved under OMB No. 4040-0004) | SF-424 | 75 | 1.0000 | 75.00 | 1.1000 | 82.50 | 0.00 | ||||||||||
| Request for Advance Reibursement (approved under OMB No. 4040-0012) | SF-270 | 75 | 1.0000 | 75.00 | 0.5000 | 37.50 | 0.00 | ||||||||||
| Notice of award and grant agreement (approved under OMB No. 0581-0240) | AMS-33 | 75 | 1.0000 | 75.00 | 0.5833 | 43.75 | 0.00 | ||||||||||
| Federal Finanacial Report (approved under OMB No. 4040-0014) | SF-425 | 75 | 3.0000 | 225.00 | 1.0000 | 225.00 | 0.00 | ||||||||||
| SUBTOTAL | 225.00 | 193.75 | 0.00 | 0.00 | |||||||||||||
| TOTAL OF ALL PAGES | 900.00 | 4,656.25 | 75.00 | 75.00 | |||||||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 975.00 | 4,731.25 | |||||||||||||||
| 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. | |||||||||||||||
| Local Food Purchase Assistance Cooperative Agreement Program (LFPA) | 0581-NEW | ||||||||||||||||
| 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) | |||||||
| General Terms and Conditions (Reading) | None | 75 | 1.0000 | 75.00 | 1.0000 | 75.00 | 0.00 | ||||||||||
| LFPA Request for Application (Example) | None | 75 | 1.0000 | 75.00 | 4.0000 | 300.00 | 0.00 | ||||||||||
| Cooperative Agreement between the Agricutural Marketing Service USDA and State Agencies Form |
AMS-20-1 | 75 | 1.0000 | 75.00 | 10.0000 | 750.00 | 0.00 | ||||||||||
| Record Keeping | 0.00 | 0.00 | 75 | 1.000 | 75.00 | ||||||||||||
| 7 USC 1621 & 2 CFR 200 | Local Food Purchase Assistance Cooperative Agreement Program: LFPA Only (NEW) | 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 225.00 | 1,125.00 | 75 | 75.00 | |||||||||||||
| 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. | |||||||||||||||
| Local Food Purchase Assistance Cooperative Agreement Program (LFPA) | 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) | |||||||
| Final Progress Report (summary of quarterly data and program outcome reading) | None | 75 | 1.0000 | 75.00 | 4.5000 | 337.50 | 0.00 | ||||||||||
| LFPA Project Narative Form | None | 75 | 1.0000 | 75.00 | 4.0000 | 300.00 | 0.00 | ||||||||||
| LFPA Quarterly Report Form | None | 75 | 4.0000 | 300.00 | 9.0000 | 2,700.00 | 0.00 | ||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||||
| SUBTOTAL | 450.00 | 3,337.50 | 0 | 0.00 | |||||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |