Burdent Statement

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-I: 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.
								Land Exchanges					0596-0105
													DATE PREPARED
													November 14, 2022
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT							ANNUAL BURDEN
							REPORTS					RECORDS			RESPONDENT COST
														TOTAL
						FORMS NO (S)	NO. OF	NO OF	TOTAL ANNUAL	HOURS	TOTAL	NO. OF	ANNUAL	RECORD-	COST	TOTAL
SECTION OF	DESCRIPTION					(If "none"	RESPONDENTS	RESPONSES	RESPONSES	PER	HOURS	RECORD-	HOURS PER	KEEPING HOURS	PER	COST
REGS.						so state)		PER	(Col. D x E)	RESPONSE	(Col. F x G)	KEEPERS	RECORD-	(Col. I x J)	HOUR	(Col. H x L)
								RESPONDENT					KEEPER
(A)	(B)					(C)	(D)	(E)	(F)	(G)	(H)	(I)	(J)	(K)	(L)	(M)
	Agreement to Initate					Template	2	1.00	2.00	8.000	16.00	1	16.000	16.00	54.34	$869.44
	Exchange Agreement					Template	1	1.00	1.00	4.000	4.00	1	4.000	4.00	54.34	$217.36
									0.00		0.00			0.00		$0.00
									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								3.00		20.00	2.00		20.00		$1,086.80
	TOTAL OF ALL PAGES								3.00		20.00	2.00		20.00		$1,086.80
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c									5.00		40.00