Reporting and Recordkeeping Requirements

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-I: 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.

0560-0097

Agricultural Foreign Investment Disclosure Act Report

DATE PREPARED

1/3/2022

IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT

ANNUAL BURDEN

REPORTS

RECORDS

RESPONDENT COST

TOTAL BURDEN HOURS

TOTAL

FORMS NO (S)

NO. OF

NO OF

TOTAL ANNUAL

HOURS

(Col. F x G)

NO. OF

ANNUAL

RECORD-

COST

TOTAL

SECTION OF

DESCRIPTION

(If "none"

RESPONDENTS

RESPONSES

RESPONSES

PER

(H)

RECORD-

HOURS PER

KEEPING HOURS

PER

COST

REGS.

so state)

PER

(Col. D x E)

RESPONSE

KEEPERS

RECORD-

(Col. I x J)

HOUR

(Col. H x L)

RESPONDENT

EXEMPT

NON-EXEMPT

KEEPER

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(I)

(J)

(K)

(L)

(M)

781.3 b, c,d,i

Agricultural Foreign Investment Disclosure Act

FSA-153

5,000

1

7,000

0.50

3,500

$56.82

198,870

781.3 (j)

Notification Letter - Change in Foreign Status

Letter format

350

1

350

0.25

88

$56.82

4,972

781.3 (k)

Notification Letter - Keep Information Current

Letter format

425

1

425

0.25

106

$56.82

6,037

SUBTOTAL

7,775

0

3,694

0.00

209,879

TOTAL OF ALL PAGES

7,775

0

3,694

0.00

209,879

TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c

7,775

3,694