0232
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
0560-0229 |
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| Nomination Form for County Farm Service Agency (FSA) Committee Election |
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| DATE PREPARED |
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| April 1, 2024 |
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| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
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RECORDS |
RESPONDENT COST |
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TOTAL BURDEN HOURS |
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TOTAL |
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FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
(Col. F x G) |
NO. OF |
ANNUAL |
RECORD- |
COST |
TOTAL |
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| SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
(H) |
RECORD- |
HOURS PER |
KEEPING HOURS |
PER |
COST |
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| REGS. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
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KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
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RESPONDENT |
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EXEMPT |
NON-EXEMPT |
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KEEPER |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
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(I) |
(J) |
(K) |
(L) |
(M) |
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| 7 CFR 1708.1-2 |
Nomination Form for County FSA Committee Election |
FSA-669, FSA-669A, FSA-669A-1 FSA-669A-2 FSA-669A-3 |
10,500 |
1 |
10,500 |
0.25 |
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2,625 |
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$66.48 |
174,510 |
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SUBTOTAL |
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10,500 |
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0 |
2,625 |
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0.00 |
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174,510 |
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TOTAL OF ALL PAGES |
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10,500 |
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0 |
2,625 |
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0.00 |
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174,510 |
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| TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c |
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10,500 |
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2,625 |
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