| 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. | |||||||||||||
| National Animal Identification System -- Information Requirements for Participants | 0579-0259 | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| November 1, 2008 | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | |||||||||||||||
| 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) | |||||
| N/A | Premises Registration (business) [0259] | None | 100,000 | 1.0000 | 100,000.00 | 1.00 | 100,000.00 | 0.00 | |||||||
| N/A | Updates to premises registration (business) [0259] | None | 20,000 | 1.0000 | 20,000.00 | 0.50 | 10,000.00 | 0.00 | |||||||
| N/A | Nonproducer Participant Registration (business) [0259] | None | 25 | 1.0000 | 25.00 | 1.50 | 37.50 | 25 | 1.000 | 25.00 | |||||
| N/A | AIN Device Manufacturer Applications, Agreements, and Training (business) [0283] | None | 5 | 1.0000 | 5.00 | 12.00 | 60.00 | 5 | 1.000 | 5.00 | |||||
| N/A | Manufacturers' Tags (business)[0283] | None | 1 | 1.0000 | 1.00 | 12.00 | 12.00 | 1 | 1.000 | 1.00 | |||||
| N/A | Transitional AINs (business)[0283] | None | 5 | 2.0000 | 10.00 | 0.50 | 5.00 | 5 | 1.000 | 5.00 | |||||
| N/A | Visual Only Eartags (business)[0283] | None | 1 | 1.0000 | 1.00 | 12.00 | 12.00 | 1 | 1.000 | 1.00 | |||||
| SUBTOTAL | 120,042.00 | 110,126.50 | 37.00 | 37.00 | |||||||||||
| TOTAL OF ALL PAGES | 2,154,351.00 | 1,127,818.75 | 500,404.00 | 200,330.20 | |||||||||||
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c | 2,654,755.00 | 1,328,148.95 | |||||||||||||
| 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. | |||||||||||||
| National Animal Identification System -- Information requirements for participants | 0579-0259 | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| November 1, 2008 | |||||||||||||||
| 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) | |||||
| N/A | RFID Eartags (business) [0283] | None | 1 | 1.0000 | 1.00 | 12.0000 | 12.00 | 1 | 1.000 | 1.00 | |||||
| N/A | RFID Injectable Transponders (business) [NEW] | None | 1 | 1.0000 | 1.00 | 12.0000 | 12.00 | 1 | 1.000 | 1.00 | |||||
| N/A | AIN Device Manufacturer Updates and Recordkeeping (business) [NEW] | None | 8 | 75.0000 | 600.00 | 0.3750 | 225.00 | 8 | 14.000 | 112.00 | |||||
| N/A | AIN Device Managers Registration and Agreement (business) [0283] | None | 150 | 1.0000 | 150.00 | 0.5000 | 75.00 | 150 | 0.500 | 75.00 | |||||
| N/A | AIN Device Resellers Registration and Agreement (business) [0283] | None | 200 | 1.0000 | 200.00 | 0.5000 | 100.00 | 200 | 0.500 | 100.00 | |||||
| N/A | AIN Device Managers/Resellers Training (business) [0283] | None | 350 | 1.0000 | 350.00 | 2.0000 | 700.00 | 0.00 | |||||||
| N/A | AIN Device Managers Updates (business) [NEW] | None | 150 | 60.0000 | 9,000.00 | 0.5000 | 4,500.00 | 0.00 | |||||||
| SUBTOTAL | 10,302.00 | 5,624.00 | 360 | 289.00 | |||||||||||
| 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. | |||||||||||||
| National Animal Identification System -- Information Requirements for Participants | 0579-0259 | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| November 1, 2008 | |||||||||||||||
| 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) | |||||
| AIN Device Resellers Updates (business)[NEW] | None | 200 | 120.0000 | 24,000.00 | 0.5000 | 12,000.00 | 0.00 | ||||||||
| N/A | Individual and Group/Lot Movement Records (business)[0259] | None | 500,000 | 4.0000 | 2,000,000.00 | 0.5000 | 1,000,000.00 | 500,000 | 0.400 | 200,000.00 | |||||
| N/A | Application for Evaluation of Anmal Tracking Databse (ATD)(States/Tribes)[0288] | None | 7 | 1.0000 | 7.00 | 9.7500 | 68.25 | 0.00 | |||||||
| N/A | Cooperative Agreement Forms Family (States/Tribes)[0288] (cleared under 4040-0004) | SF-424 | 7 | 1.0000 | 7.00 | 0.7500 | 5.25 | 7 | 0.600 | 4.20 | |||||
| N/A | (cleared under 4040-0006) | SF-424A | 7 | 1.0000 | 7.00 | 1.5000 | 10.50 | 0.00 | |||||||
| N/A | (Cleared under 4040-0007) | SF-424B | 7 | 1.0000 | 7.00 | 0.2500 | 1.75 | 0.00 | |||||||
| N/A | (Cleared under 0348-0046) | SF-LLL | 7 | 1.0000 | 7.00 | 0.2600 | 1.82 | 0.00 | |||||||
| SUBTOTAL | 2,024,007.00 | 1,012,068.25 | 500,007 | 200,004 | |||||||||||
| 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. | |||||||||||||
| National Animal Identification System -- Information requirements for participants | 0579-0259 | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| November 1, 2008 | |||||||||||||||
| 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) | |||||
| N/A | State/Tribe/Territory Cooperative Agreement Application [0259] | None | 70 | 1.0000 | 70.00 | 20.0000 | 1,400.00 | 70 | 1.250 | 87.50 | |||||
| N/A | 1890s, 1994 Tribal Land Grant, Hispanic Outreach/Education Cooperative Agreements [NEW] | None | 8 | 1.0000 | 8.00 | 20.0000 | 160.00 | 8 | 1.000 | 8.00 | |||||
| N/A | Industry Cooperative Agreements Application - Premises Registration (business)[NEW] | None | 4 | 1.0000 | 4.00 | 20.0000 | 80.00 | 4 | 1.000 | 4.00 | |||||
| N/A | State/Tribe Quarterly Accomplishment Reports (0259) | None | 70 | 4.0000 | 280.00 | 6.0000 | 1,680.00 | 70 | 10.000 | 700.00 | |||||
| N/A | Industry Quarterly Accomplishment Reports [NEW] | None | 12 | 4.0000 | 48.00 | 0.2000 | 9.60 | 12 | 9.000 | 108.00 | |||||
| 0.00 | 0.00 | ||||||||||||||
| 0.00 | 0.00 | ||||||||||||||
| SUBTOTAL | 410.00 | 3,329.60 | 164 | 907.50 | |||||||||||
| 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. | |||||||||||||
| National Animal Identification System -- Information requirements for participants | 0579-0259 | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| 1-Feb-08 | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | ||||||||||||||
| REPORTS | RECORDS | ||||||||||||||
| DESCRIPTION | 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. | (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||
| Industry cooperator quarterly accomplishment report | RESPONDENT | KEEPER | |||||||||||||
| (A) | SUBTOTAL | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | ||||||||||||||
| 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. |
0581- | ||||||||||||||
| DATE PREPARED | |||||||||||||||
| ANNUAL BURDEN | |||||||||||||||
| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | REPORTS | RECORDS | |||||||||||||
| DESCRIPTION | TOTAL | ||||||||||||||
| FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | TOTAL | NO. OF | ANNUAL | RECORD- | |||||||
| (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | HOURS | RECORD- | HOURS PER | KEEPING HOURS | |||||||
| (B) | so state) | PER | (Col. D x E) | RESPONSE | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | |||||||
| SECTION OF | RESPONDENT | KEEPER | |||||||||||||
| REGS. | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | ||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| (A) | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| SUBTOTAL | 0.00 | 0.00 | 0.00 | ||||||||||||
| 0.00 | 0.00 | 0.00 | |||||||||||||
| 0.00 | 0.00 | 0 | 0.00 | ||||||||||||
| File Type | application/vnd.ms-excel |
| Author | user |
| Last Modified By | cbsickles |
| File Modified | 2008-11-25 |
| File Created | 2000-01-10 |