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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 enered 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. |
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USDA Farmers Market Application |
0581-0229 |
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DATE PREPARED |
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August 3, 2020 |
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IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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RECORDS |
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TOTAL |
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FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
RECORD- |
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SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
HOURS |
RECORD- |
HOURS PER |
KEEPING HOURS |
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REGS. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
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RESPONDENT |
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KEEPER |
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(A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
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7 USC 1621 - 1627 |
USDA Farmers Market Application (includes reading the USDA Farmers Market Rules, Procedures, and Operating Guidelines, filling out the online application, and signing and dating the Participant Agreement) |
TM-28 |
60 |
1.00 |
60.00 |
1.00 |
60.00 |
0 |
0.000 |
0.00 |
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Sales Data (collected verbally by AMS) (vendors provide weekly) |
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32 |
52.00 |
1,664.00 |
0.08 |
133.12 |
0 |
0.000 |
0.00 |
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USDA Farmers Market and VegU Customer Satisfaction Survey (optional for all marketgoers) (submitted under 0581-0269) |
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520 |
1.00 |
520.00 |
0.08 |
41.60 |
0 |
0.000 |
0.00 |
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USDA Vendor Satisfaction Survey (completed by all current vendors) (submitted under 0581-0269) |
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32 |
1.00 |
32.00 |
0.10 |
3.20 |
0 |
0.000 |
0.00 |
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0.00 |
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0.00 |
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0.00 |
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SUBTOTAL |
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1,724.00 |
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193.12 |
0.00 |
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0.00 |
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TOTAL OF ALL PAGES |
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1,724.00 |
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193.12 |
0.00 |
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0.00 |
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TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "G" AND "K" = OMB 831, 13c |
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1,724.00 |
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193.12 |
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