{"text_format":"3","workbook":"xlsx","n_sheets":1,"sheets":["Sheet1"],"not_rendered":{"macros":1,"defined_names":1},"read":"whole","date_system":"1900"}

{"sheet":"Sheet1","index":0,"n_rows":25,"n_cols":18,"rows_kept":25,"merged":[[0,0,8,7],[0,8,0,13],[0,15,1,15],[2,8,8,13],[4,14,5,15],[9,0,10,5],[9,7,10,15],[11,7,12,11],[11,13,12,15],[11,16,12,17],[13,11,13,12],[14,11,14,12],[15,1,15,5],[15,11,15,12],[18,1,18,5],[19,1,19,5],[20,1,20,5],[21,1,21,5],[22,1,22,5],[23,1,23,5],[24,0,24,5]]}
["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\nNOTE:  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.    \n",{"$nulls":7},"TITLE OF INFORMATION COLLECTION DOCUMENT",{"$nulls":5},"OMB NO."]
[{"$nulls":14},"0560-0190"]
[]
[{"$nulls":14},"DATE PREPARED"]
[{"$nulls":14},"2026-03-10"]
[]
[]
[]
[]
["IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT",{"$nulls":6},"ANNUAL BURDEN"]
[]
[{"$nulls":7},"REPORTS",{"$nulls":5},"RECORDS",null,null,"RESPONDENT COST"]
[]
[{"$nulls":11},"TOTAL BURDEN HOURS",{"$nulls":3},"TOTAL"]
[{"$nulls":6},"FORMS NO (S)","NO. OF","NO OF","TOTAL ANNUAL","HOURS"," (Col. F x G)",null,"NO. OF ","ANNUAL ","RECORD-","COST","TOTAL"]
["SECTION OF","DESCRIPTION",{"$nulls":4},"(If \"none\"","RESPONDENTS","RESPONSES","RESPONSES","PER  ","(H)",null,"RECORD-","HOURS PER","KEEPING HOURS","PER","COST"]
["REGS.",{"$nulls":5},"so state)",null,"PER ","(Col. D x E)","RESPONSE",null,null,"KEEPERS","RECORD-","(Col. I x J)","HOUR","(Col. H x L)"]
[{"$nulls":8},"RESPONDENT",null,null,"EXEMPT","NON-EXEMPT",null,"KEEPER"]
["(A)","(B)",{"$nulls":4},"(C)","(D)","(E)","(F)","(G)",null,null,"(I)","(J)","(K)","(L)","(M)"]
[null,"Power of Attorney",{"$nulls":4},"FSA-211",{"v":15000,"d":"15,000"},1,{"$f":"SUM(H20*I20)","v":{"v":15000,"d":"15,000"}},{"v":0.5,"d":"0.5000"},null,{"$f":"SUM(J20*K20)","v":{"v":7500,"d":"7,500"}},{"$nulls":3},{"v":46.75,"d":"$46.75"},{"$f":"SUM(M20*Q20)","v":{"v":350625,"d":"350,625"}}]
[null,"Power of Attorney - Signature Continuation Sheet",{"$nulls":4},"FSA-211A",{"v":1000,"d":"1,000"},1,{"v":1000,"d":"1,000"},{"v":0.25,"d":"0.2500"},null,250,{"$nulls":3},{"v":46.75,"d":"$46.75"},{"v":11687.5,"d":"11,688"}]
[{"$nulls":9},0,null,null,0]
[null,"SUBTOTAL",{"$nulls":7},{"$f":"SUM(J20:J21)","v":{"v":16000,"d":"16,000"}},null,{"$f":"SUM(L20:L21)","v":0},{"$f":"SUM(M20:M22)","v":{"v":7750,"d":"7,750"}},null,null,{"$f":"SUM(P20:P22)","v":{"v":0,"d":"0.00"}},null,{"$f":"SUM(R20:R22)","v":{"v":362312.5,"d":"362,313"}}]
[null,"TOTAL OF ALL PAGES",{"$nulls":7},{"$f":"SUM(J23)","v":{"v":16000,"d":"16,000"}},null,{"$f":"SUM(L23)","v":0},{"$f":"SUM(M23)","v":{"v":7750,"d":"7,750"}},null,null,{"$f":"SUM(P23)","v":{"v":0,"d":"0.00"}},null,{"$f":"SUM(R23)","v":{"v":362312.5,"d":"362,313"}}]
["TOTAL - COLUMNS \"F\" AND \"I\" = OMB 83-I, 13b; COLUMNS \"H\" AND \"K\" = OMB 83-I, 13c",{"$nulls":8},{"$f":"SUM(J24+N24)","v":{"v":16000,"d":"16,000"}},null,null,{"$f":"SUM(M24+P24)","v":{"v":7750,"d":"7,750"}}]