Ams-71

AMS-71 LFS.xlsx

Local Food for Schools Cooperative Agreement Program (LFS)

AMS-71

OMB: 0581-0334

Document [xlsx]
Download: xlsx | pdf
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 for Schools Cooperative Agreement Program (LFS) 0581-NEW













DATE PREPARED








January 13, 2022





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 (LFS)) (NEW)


0.00
0.00

0.00



Amendment to cooperative agreement AMS-20-3 50 2.0000 100.00 1.0000 100.00

0.00



Application for Federal Assitance (approved under OMB No. 4040-0004) SF-424 50 1.0000 50.00 1.1000 55.00

0.00



Request for Advance Reibursement (approved under OMB No. 4040-0012) SF-270 50 1.0000 50.00 0.5000 25.00

0.00



Notice of award and grant agreement (approved under OMB No. 0581-0240) AMS-33 50 1.0000 50.00 0.5833 29.17

0.00



Federal Finanacial Report (approved under OMB No. 4040-0014) SF-425 50 3.0000 150.00 1.0000 150.00

0.00



SUBTOTAL


150.00
129.17 0.00
0.00



TOTAL OF ALL PAGES


600.00
3,104.17 50.00
50.00


TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c


650.00
3,154.17


























































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 for Schools Cooperative Agreement Program (LFS) 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 50 1.0000 50.00 1.0000 50.00

0.00



LFS Request for Application Draft None 50 1.0000 50.00 4.0000 200.00

0.00



Cooperative Agreement between the
Agricutural Marketing Service USDA and State Agencies Form
AMS-20-1 50 1.0000 50.00 10.0000 500.00

0.00



Record Keeping None

0.00
0.00 50 1.000 50.00


7 USC 1621 & 2 CFR 200 Local Food for Schoold Cooperative Agreement Program: LFS Only (NEW)


0.00
0.00

0.00



SUBTOTAL


150.00
750.00 50
50.00
























































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 for Schoolsp Cooperative Agreement Program (LFS) 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 50 1.0000 50.00 4.5000 225.00

0.00



LFS Project Narative Form None 50 1.0000 50.00 4.0000 200.00

0.00



LFS Quarterly Report Form None 50 4.0000 200.00 9.0000 1,800.00

0.00







0.00
0.00

0.00







0.00
0.00

0.00



SUBTOTAL


300.00
2,225.00 0
0.00


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