| 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. | ||||||||||||
| Regional Food Business Centers (NEW) | 0581-NEW | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 16-May-22 | ||||||||||||||
| 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 | STANDARDIZED FORMS FOR ALL AMS GRANT PROGRAMS (Line entry represents totals only for Regional Food Centers) (NEW) | (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 Applications (RFA) (Reading) | None | 50 | 1 | 50 | 4.0000 | 200 | ||||||||
| Application for Federal Assistance (approved under OMB No. 4040-0004) | SF 424 | 50 | 1 | 50 | 1.1000 | 55 | ||||||||
| Notice of Award and Agreement (approved under OMB No. 0581-0240) | AMS 33 | 10 | 1 | 10 | 0.5833 | 5.833 | ||||||||
| AMS General Terms and Conditions (Reading) (approved under OMB No. 0581-0240) | None | 10 | 1 | 10 | 2.0000 | 20 | ||||||||
| SUBTOTAL | 3 | 70 | 6.5833 | 225.83 | 0 | 0 | 0 | |||||||
| TOTAL OF ALL PAGES | 14 | 201.00 | 26.3333 | 460.83 | 1 | 10 | 10 | |||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 202.00 | 470.83 | ||||||||||||
| 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. | ||||||||||||
| Regional Food Business Centers (NEW) | 0581-NEW | |||||||||||||
| DATE PREPARED | ||||||||||||||
| 16-May-22 | ||||||||||||||
| 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 | (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 (approved under OMB No. 4040-0012) | SF 270 | 10 | 4 | 40 | 1 | 40 | ||||||||
| Federal Financial Report (approved under OMB No. 4040-0014) | SF 425 | 10 | 2 | 20 | 1 | 20 | ||||||||
| Recordkeeping (throughout) | None | 0 | 1 | 10 | 10 | |||||||||
| Accounting System and Financial Capability Questionnaire | 10 | 1 | 10 | 0.33 | 3.333 | |||||||||
| AMS Grant Programs Worksheet along with SF 270 (Previously AMS Worksheet to Accompany each SF-270) | 10 | 5 | 50 | 1.00 | 50 | |||||||||
| SUBTOTAL | 6 | 60 | 1.3333 | 53.333 | 1 | 10 | 10 | |||||||
| 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. | ||||||||||||
| 0581-NEW | ||||||||||||||
| Regional Food Business Centers (NEW) | ||||||||||||||
| DATE PREPARED | ||||||||||||||
| 16-May-22 | ||||||||||||||
| 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 | COMPETITIVE AMS COOPERATIVE AGREEMENT PROGRAM: USDA REGIONAL FOOD BUSINESS CENTERS ONLY (NEW) | (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) | ||||
| Semiannual Performance Report | None | 10 | 2 | 20 | 8 | 160 | ||||||||
| Grant Application into Grants.gov (may include any of the following: Project Narrative; Fiscal Plan and Resources; Personnel Qualifications; Letters of Commitment from Partner and Collaborator Organizations) | None | 50 | 1 | 1 | 10.00 | 10 | ||||||||
| Negotiated Indirect Cost Rate Agreement (NICRA) | None | 10 | 1 | 40 | 0.2500 | 10 | ||||||||
| RFBC Program Specific Terms and Conditions (Reading) | None | 10 | 1 | 10 | 0.1667 | 1.667 | ||||||||
| SUBTOTAL | 5 | 71 | 18 | 181.67 | 0 | |||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |