| 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. | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| USDA Farmers Market Application | 
		0581-0229 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| DATE PREPARED | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| September 11, 2024 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		RECORDS | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		TOTAL | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		FORMS NO (S) | 
		NO. OF | 
		NO OF | 
		TOTAL ANNUAL | 
		HOURS | 
		TOTAL  | 
		NO. OF  | 
		ANNUAL  | 
		RECORD- | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| SECTION OF | 
		DESCRIPTION | 
		(If "none" | 
		RESPONDENTS | 
		RESPONSES | 
		RESPONSES | 
		PER | 
		HOURS | 
		RECORD- | 
		HOURS PER | 
		KEEPING HOURS | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| REGS. | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		so state) | 
		
  | 
		PER  | 
		(Col. D x E) | 
		RESPONSE | 
		(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 | 
		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 | 
		68 | 
		1.00 | 
		68.00 | 
		1.00 | 
		68.00 | 
		0 | 
		0.000 | 
		0.00 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Sales Data (collected verbally by AMS) (vendors provide weekly)  | 
		
  | 
		32 | 
		52.00 | 
		1,664.00 | 
		0.08 | 
		133.12 | 
		0 | 
		0.000 | 
		0.00 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		USDA Farmers Market and VegU Customer Satisfaction Survey (optional for all marketgoers) (submitted under 0581-0269) | 
		
  | 
		520 | 
		1.00 | 
		520.00 | 
		0.08 | 
		41.60 | 
		0 | 
		0.000 | 
		0.00 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		USDA Vendor Satisfaction Survey (completed by all current vendors) (submitted under 0581-0269) | 
		
  | 
		32 | 
		1.00 | 
		32.00 | 
		0.10 | 
		3.20 | 
		0 | 
		0.000 | 
		0.00 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		0.00 | 
		
  | 
		0.00 | 
		
  | 
		
  | 
		0.00 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		SUBTOTAL | 
		
  | 
		
  | 
		
  | 
		1,732.00 | 
		
  | 
		201.12 | 
		0.00 | 
		
  | 
		0.00 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		TOTAL OF ALL PAGES | 
		
  | 
		
  | 
		
  | 
		1,732.00 | 
		
  | 
		201.12 | 
		0.00 | 
		
  | 
		0.00 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "G" AND "K" = OMB 831, 13c | 
		
  | 
		
  | 
		
  | 
		1,732.00 | 
		
  | 
		201.12 | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  |