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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. |
|
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|
|
|
|
|
|
| Seafood Processors Pandemic Relief and Safety (SPRS) Block Grant Program |
0581-0329 |
|
|
|
|
|
| DATE PREPARED |
|
|
|
| March 20, 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) |
|
Miklozek, John - AMS:
7 U.S.C. 1621 is likely not applicable here. You may need to update this to Sec. 751 of the CAA (Pub. L. No. ###--###).
7 USC 1621 & 2 CFR 200 |
STANDARDIZED FORMS FOR ALL AMS GRANT PROGRAMS (Line entry represents totals only for SPRS) |
|
|
|
0.00 |
|
0.00 |
|
|
0.00 |
|
Request for Applications (RFA) (Reading) |
None |
25 |
1.0000 |
25.00 |
4.0000 |
100.00 |
|
|
0.00 |
|
Application for Federal Assistance (OMB No. 4040-0004) |
SF 424 |
25 |
1.0000 |
25.00 |
1.0000 |
25.00 |
|
|
0.00 |
|
Notice of Award and Grant Agreement (approved under OMB No. 0581-0240) |
AMS 33 |
25 |
1.0000 |
25.00 |
0.5833 |
14.58 |
|
|
|
|
AMS General Terms and Conditions (approved under OMB No. 0581-0240) |
None |
25 |
1.0000 |
25.00 |
2.0000 |
50.00 |
|
|
0.00 |
|
Amendment Request (approved under OMB No. 0581-0240) |
None |
25 |
2.0000 |
50.00 |
1.0000 |
50.00 |
|
|
0.00 |
|
Interim Performance Report Template (approved under OMB No. 0581-0240) |
None |
25 |
2.0000 |
50.00 |
4.0000 |
200.00 |
|
|
0.00 |
|
SUBTOTAL |
|
|
7 |
175.00 |
12 |
414.58 |
0.00 |
|
0.00 |
|
TOTAL OF ALL PAGES |
|
|
19 |
475.00 |
27 |
1014.58 |
10.00 |
|
10.00 |
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c |
|
|
|
485.00 |
|
1,024.58 |
|
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|
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|
|
|
|
|
|
|
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|
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|
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|
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. |
|
|
|
|
|
|
|
|
| Seafood Processors Pandemic Relief and Safety (SPRS) Block Grant Program |
0581-0329 |
|
|
|
|
|
| DATE PREPARED |
|
|
|
| March 20, 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) |
|
Request for Advance or Reimbursement (OMB No. 4040-0012) |
SF 270 |
25 |
10.0000 |
250.00 |
1.0000 |
250.00 |
|
|
0.00 |
|
Federal Financial Report (OMB No. 4040-0014) |
SF 425 |
25 |
3.0000 |
75.00 |
1.0000 |
75.00 |
|
|
0.00 |
|
Final Performance Report Template (approved under OMB No. 0581-0240) |
None |
25 |
1.0000 |
25.00 |
4.0000 |
100.00 |
|
|
0.00 |
|
Recordkeeping |
None |
|
|
|
|
|
10 |
1.000 |
10.00 |
|
|
|
|
|
|
|
|
|
|
|
|
SUBTOTAL |
|
|
11 |
275.00 |
5 |
350.00 |
10 |
|
10.00 |
|
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|
|
|
|
|
|
|
|
|
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. |
|
|
|
|
|
|
|
|
| Seafood Processors Pandemic Relief and Safety (SPRS) Block Grant Program |
0581-0329 |
|
|
|
|
|
| DATE PREPARED |
|
|
|
| March 20, 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 |
NON-COMPETITIVE AMS GRANT PROGRAM: SPRS ONLY |
|
|
|
0.00 |
|
0.00 |
|
|
0.00 |
|
SPRS Narrative Submission in Grants.gov (which includes a Grant Administration template) (0581-0329) |
None |
25 |
1.0000 |
25.00 |
10.0000 |
250.00 |
|
|
0.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUBTOTAL |
|
|
1 |
25.00 |
10 |
250.00 |
0 |
|
0.00 |
|
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|
|
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|
|
|
|
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|
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|
|
|
|
|
|
|
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. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 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) |
|
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|
|
|
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|
|
|
|
|
|
|
|
|
|
SUBTOTAL |
|
0 |
0 |
0.00 |
0 |
0.00 |
Err:522 |
|
Err:522 |