| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| US Warehouse Act 869 | Application for License or Modification of License for the Conduct of a Public Warehouse | WA-50 | 500 | 1.0000 | 500.00 | 0.0800 | 40.00 | 0.00 | ||||||
| USWA USWA 869; 7 CFR 1423, 7 CFR 1427.1081 | Financial Statement Supplement (for Agricultural Products) | WA-51-2 | 3,000 | 1.0000 | 3,000.00 | 0.7500 | 2,250.00 | 0.00 | ||||||
| USWA 869 | Application for a License to Inspect, Classify, Sample, and/or Weigh Agricultural Products under the United States Warehouse Act | WA-53 | 2,100 | 1.0000 | 2,100.00 | 0.2500 | 525.00 | 0.00 | ||||||
| USWA 869 | Bond to Cover Lost Paper Warehouse Receipts under the United States Warehouse Act (occasionally) | WA-62 | 20 | 1.0000 | 20.00 | 0.5000 | 10.00 | 0.00 | ||||||
| USWA 869 | Receipt Signature Authority (occasionally) | WA-70 | 1,000 | 1.0000 | 1,000.00 | 0.2500 | 250.00 | 0.00 | ||||||
| USWA 869 | Warehouse Operator's Bond & Related Forms | WA-80 | 204 | 1.0000 | 204.00 | 0.2500 | 51.00 | 0.00 | ||||||
| Warehouse Operator's Bond & Related Forms (10 for each form of WA-81, WA-82, WA-83, WA-84, WA-85, WA-87, WA-88, WA-89, WA-90, WA-91) | WA-81, 82, 83, 84, 85, 87, 88, 89, 90, 91 | 100 | 1.0000 | 100.00 | 0.2500 | 25.00 | 0.00 | |||||||
| SUBTOTAL | 6,924.00 | 3,151.00 | 0.00 | |||||||||||
| TOTAL OF ALL PAGES | 14,422.00 | 6,443.00 | 1,249.00 | 32,474.00 | ||||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 15,671.00 | 38,917.00 | ||||||||||||
| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| USWA 869 | Returned & Destroyed Receipt Record | WA-105 | 100 | 1.0000 | 100.00 | 0.2500 | 25.00 | 0.00 | ||||||
| USWA 869, 7 CFR 1423.9 | Memorandum of Adjustments (occasionally) | WA-125 | 700 | 1.0000 | 700.00 | 0.5000 | 350.00 | 0.00 | ||||||
| 7 CFR 1427.1082, 7 CFR 1427.1084 | Memorandum of Adjustments (Electronic response) (occasionally) | WA-125ER | 20 | 1.0000 | 20.00 | 0.5000 | 10.00 | 0.00 | ||||||
| USWA 869 | Certificate of Loss of Canceled/Uncanceled Warehouse Receipts (Affidavit) | WA-139 | 200 | 1.0000 | 200.00 | 0.2500 | 50.00 | 0.00 | ||||||
| USWA 869 | Agreement to Assume Agricultural Product Storage Obligations | WA-140 | 77 | 1.0000 | 77.00 | 0.2500 | 19.25 | 0.00 | ||||||
| USWA 869 | Agreement with Respect to Agricultural Product Storage Obligations | WA-141 | 77 | 1.0000 | 77.00 | 0.2500 | 19.25 | 0.00 | ||||||
| SUBTOTAL | 1,174.00 | 473.50 | 0 | 0.00 | ||||||||||
| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| USWA 869 | Warehouse Operator's Statement and Examiner's Comparison of Obligated Stocks | WA-225 | 140 | 1.0000 | 140.00 | 0.5000 | 70.00 | 0.00 | ||||||
| USWA 869 | Order for Printing U.S. Warehouse Receipt Forms | WA-237 | 50 | 1.0000 | 50.00 | 0.1700 | 8.50 | 0.00 | ||||||
| USWA 869, 7 CFR 1423.9, 7 CFR 1427.1084 | Warehouse Operator's Statement and Examiner's Comparison of Obligations and Stocks | WA-308 | 3,200 | 1.0000 | 3,200.00 | 0.5000 | 1,600.00 | 0.00 | ||||||
| USWA 869 | Schedule of Charges -- Tariff for Storing and Handling Agricultural Products | WA-372 (no required format) | 800 | 1.0000 | 800.00 | 0.2500 | 200.00 | 0.00 | ||||||
| SUBTOTAL | 4,190.00 | 1,878.50 | 0 | 0.00 | ||||||||||
| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| USWA 869 | Licensing Agreement for Export Food Aid Commodity Warehouse Operators | WA-502 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 10 | 26.000 | 260.00 | ||||
| 7 CFR 1423, USWA 869 | Original Warehouse Examination Report (Processed Commodities) | WA-561 | 50 | 1.0000 | 50.00 | 0.5000 | 25.00 | 0.00 | ||||||
| 7 CFR 1423.9, USWA 869 | Subsequent Examination Report (Processed Commodities) | WA-562 | 50 | 1.0000 | 50.00 | 0.5000 | 25.00 | 0.00 | ||||||
| 7 CFR 1423.9, USWA 869 | Inventory Adjustment Notice | WA-570 | 50 | 1.0000 | 50.00 | 0.5000 | 25.00 | 0.00 | ||||||
| 7 CFR 1423.9, USWA 869 | Port Facility Examination Checklist | WA-580 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| 7 CFR 1423.9, USWA 869 | Transloading Examination Checklist | WA-580-1 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| SUBTOTAL | 180.00 | 90.00 | 10 | 260.00 | ||||||||||
| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| USWA 869 | Addendum to the Terms and Conditions of the Licensing/Provider Agreement | WA-400 | 100 | 1.0000 | 100.00 | 0.5000 | 50.00 | |||||||
| USWA 869 | Licensing Agreement for Cotton Warehouse Operators | WA-401 | 204 | 1.0000 | 204.00 | 0.5000 | 102.00 | 204 | 26.000 | 5,304.00 | ||||
| USWA 869 | Licensing Agreement for Grain and Rice Warehouse Operators | WA-402 | 1,000 | 1.0000 | 1,000.00 | 0.5000 | 500.00 | 1,000 | 26.000 | 26,000.00 | ||||
| USWA 869 | Licensing Agreement for Nut Warehouse Operators | WA-405 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 10 | 26.000 | 260.00 | ||||
| SUBTOTAL | 1,314.00 | 657.00 | 1,214 | 31,564.00 | ||||||||||
| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| USWA 869 | Licensing Agreement for Dry Bean Warehouse Operators | WA-406 | 15 | 1.0000 | 15.00 | 0.5000 | 8.00 | 15 | 26.000 | 390.00 | ||||
| USWA 869 | Provider Agreement to Electronically File & Maintain Warehouse Receipts & USWA Documents | WA-460 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 10 | 26.000 | 260.00 | ||||
| USWA 869 | Addendum to the Provider Agreement to Electronically Maintain Cotton Warehouse Receipts | WA-460-1 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| USWA 869 | Addendum to the Provider Agreement to Electronically File & Maintain Grain Warehouse Receipts and USWA Documents | WA-460-2 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| SUBTOTAL | 45.00 | 23.00 | 25 | 650.00 | ||||||||||
| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| USWA 869 | Addendum to the Provider Agreement to Electronically File & Maintain Rice Warehouse Receipts | WA-460-9 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| USWA 869 | Addendum to the Provider Agreement to Electronically File & Maintain Coffee Warehouse Receipts | WA-460-11 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| USWA 869 | Addendum to the Provider Agreement to Electronically File & Maintain Cocoa Warehouse Receipts | WA-460-12 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| USWA 869 | Addendum to the Provider Agreement to Electronically File & Maintain Orange Juice Warehouse Receipts | WA-460-13 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| USWA 869 | Provider Agreement to Electronically File & Maintain Other Electronic Documents | WA-490 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| USWA 869 | Addendum to the Provider Agreement to Electronically File & Maintain Other Electronic Documents | WA-490-1 | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| SUBTOTAL | 60.00 | 30.00 | 0 | 0.00 | ||||||||||
| 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. | ||||||||||||
| Reinstatement with change of a previously approved collection for which approval has expired; United States Warehouse Act (USWA) | 0581-0305 | |||||||||||||
| DATE PREPARED | ||||||||||||||
| April 1, 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) | ||||
| USWA 869, 7 CFR 1423.2, 7 CFR 1427.1082 | Warehouse Operator to Submit Reports, as requested, on operations, contents, commodity conditions | No required format | 500 | 1.0000 | 500.00 | 0.2500 | 125.00 | 0.00 | ||||||
| USWA 869 | Warehouse Operator to Submit Notices of Removal of Commodities from Storage | No required format | 25 | 1.0000 | 25.00 | 0.4000 | 10.00 | 0.00 | ||||||
| USWA 869 | Warehouse Operator to Report Occurrences of Disasters or Losses | FAX, memo, or other appropriate means | 10 | 1.0000 | 10.00 | 0.5000 | 5.00 | 0.00 | ||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | ||||||||||||
| SUBTOTAL | 535.00 | 140.00 | 0 | 0.00 | ||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |