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), & (K) should be entered in items 17 & 18 of OMB-83-I. For cols. (E), (F), & (J), the averages of the totals shall be computed, as follows, & then entered on the OMB-83-1. (F) Total/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. | |||||||||||||||||||||
Local Food Directories and Survey | 0581-New | ||||||||||||||||||||||
DATE PREPARED | |||||||||||||||||||||||
14 February, 2014 | |||||||||||||||||||||||
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | |||||||||||||||||||||||
RECORDS | |||||||||||||||||||||||
TOTAL | |||||||||||||||||||||||
FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | TOTAL | NO. OF | ANNUAL | RECORD- | ||||||||||||||||
SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | HOURS | RECORD- | HOURS PER | KEEPING HOURS | ||||||||||||||
REGS. | so state) | PER | (Col. D x E) | (Col. F x G) | KEEPERS | RECORD- | (Col. I x J) | ||||||||||||||||
RESPONDENT | KEEPER | ||||||||||||||||||||||
(A) | (B) | (C) | (D) | (E) | (F) | (G) | (H) | (I) | (J) | (K) | |||||||||||||
7 USC 1621 - 1627 | On-Farm Market Questionnaire | 50,000 | 0.0200 | 1,000.00 | 0.16700 | 167.00 | 0.00 | ||||||||||||||||
Community Supported Agriculture (CSA) Questionnaire | 6,500 | 0.1538 | 1,000.00 | 0.16700 | 167.00 | 0.00 | |||||||||||||||||
Food Hub Questionnaire | 250 | 0.5000 | 125.00 | 0.16700 | 20.88 | 0.00 | |||||||||||||||||
SUBTOTAL | 2,125.00 | 354.87 | 0.00 | 0.00 | |||||||||||||||||||
TOTAL OF ALL PAGES | 2,125.00 | 354.87 | 0.00 | 0.00 | |||||||||||||||||||
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "G" AND "K" = OMB 831, 13c | 2,125.00 | 355 |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |