SRA Burden Grid

REPRODUCE LOCALLY. Include form number and date on all reproductions.

INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), and (K) should be entered in items 17 & 18 of SF-83. For cols. (E), (G), and (J), the averages of the totals shall be computed, as follows, and then entered on the SF-83. (F) Total = (E) Average (H) Total = (G) Average (K) Total = (J) Average (D) Total (F) Total (I) Total		TITLE OF INFORMATION COLLECTION DOCUMENT Standard Reinsurance Agreement					OMB NO. 0563-0069		PAGE 1 OF 2
							DATE PREPARED 9/28/10
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT			ANNUAL BURDEN
			REPORTS					RECORDS
SECTION OF REGS. (A)	DESCRIPTION (B)	FORM NO(S). (If "none", so state) (C)	NO. OF RESPON- DENTS (D)	NO. OF RESPONSES PER RESPON- DENT (E)	TOTAL ANNUAL RESPONSES (Col. D x E) (F)	HOURS PER RESPONSE (G)	TOTAL HOURS (Col. F x G) (H)	NO. OF RECORD- KEEPERS (i)	ANNUAL HOURS PER RECORD- KEEPER (J)	TOTAL RECORD- KEEPING HOURS (Col. I x J) (K)
7 CFR Ch.IV – Subpart L	STANDARD REINSURANCE AGREEMENT Section III(a)(2)(K) – Agents Section III(a)(2)(K) – AIPs (Execution of covenant not to sue) APPENDIX I Section VI(e) – Agents, Adjusters, Employees Section VI(e) – (Conflict of Interest Disclosure) AIPs - (Conflict of Interest Disclosure) Section VII(b) – Agents – (Controlled Business Certification – 200 Farm Bill) Section VII(b) – AIPs (2008 Farm Bill) APPENDIX II Section I(a) Section I(b) Section I(c) Section II(a) Section II(b) Section II(c) Section II(d) Section II(e) Section II(f) Section II(g) Section II(h) Section III(b) Section III(c) Section III(d) Section III(e) Section III(f) Section III(g) Section III(h) Section III(i) Section IV(a) Section IV(b) Section IV(c) Section IV(d) Section IV(e) Section IV(f) Section IV(g) Section IV(h) Section IV(i) Section IV(j) Section IV(k) Section IV(l) Section IV(m) Section IV(n) Section V(a) Section V(b) Section V(c) Section V(d) Section VI(a) Section VI(b) Section VI(c) Section VI(d) APPENDIX IV Section I(a) – Quality Control Report Section II(a) – Training Report Section II(d)(1) - Training Section II(d)(2) - Training Section III(a) TOTALS:		15000 16 21000 16 15000 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 15000 3500 16	1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1	15000 16 21000 16 15000 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 15000 3500 16 70,252	1 24 1 24 1 24 1 1 1 1 1 1 1 1 1 1 1 2 2 8 1 16 16 8 1 1 1 1 1 1 1 1 1 1 1 1 4 4 8 1 1 1 1 8 12 8 4 40 60 4 17 24	15000 384 21000 384 15000 384 16 16 16 16 16 16 16 16 16 16 16 32 32 128 16 256 256 128 16 16 16 16 16 16 16 16 16 16 16 16 64 64 128 16 16 16 16 128 192 128 64 640 960 60000 59500 384 175,684	None	None	None

RMA-71

SUMMARY OF INFORMATION COLLECTION USDA-RMA