Burden Grid

EPRODUCE 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 General Administrative Regulations Interpretations of Statutory and Regulatory Provisions					OMB NO. 0563-0055		PAGE 1 of 1
							DATE PREPARED February 16, 2012
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 400, Subpart X Manager’s Bulletin MGR-05-018	Any producer with a valid crop insurance policy, approved insurance provider (agents, loss adjusters, employees, contractors or lawyers) with agreement with FCIC Any producer with a valid crop insurance policy, approved insurance provider (agents, loss adjusters, employees, contractors or lawyers) with agreement with FCIC TOTAL	None None	50 45 95	1 1	50 45 95	8 9	400 405 805	0 0	0 0	0 0

SUMMARY OF INFORMATION COLLECTION