Create a simple data entry program

We need a Simple Data Entry Program to be designed for us to use. Simple easy to use these are the things, below, that will be entered into our database. We should have the ability to print out various reports in our excel format can be other format too. 1. Name of State, 2. Profession, 3. Professional Code # (4. Professional Web site address, 5. Date Data collected, 6. Date Data Previous collected 6 Previous Data quantity 7. Current Data quantity 7. Merge or Replace previous data 8. Cost of data: free, $ 10 Procedure to get data: ( download, Scraper, Direct with state Agency) 11. Where is Data now: In system, Joans list, awaiting going into system 12 13 14