| 
				 REPRODUCE LOCALLY. Include form number and date on all reproductions. | |||||||||
| 
				 FSA-85-1 U.S. Department of Agriculture (05-08-98) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 | |||||||||
| 
				 1. OMB No. | 
				 2. Title of Clearance | ||||||||
| 
				 0560-0170 | 
				 7 CFR Part 1945-A, Disaster Assistance General | ||||||||
| 
				 3. 
				 
				 Description (Title of Form, Report or Record) | 
				 4. 
				 
				 Report 
 | 
				 5. 
				 
				 Record | 
				 6. 
				 
				 Form No. | 
				 7. 
				 
				 Regulation Part/Sec. | 
				 Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) | ||||
| 
				 8. 
				 No. of Respondents | 
				 9. 
				 No. of Reports Filed Per Person | 
				 10. 
				 Total Annual Responses | 
				 11. 
				 Time to Respond | 
				 12. 
				 Total Burden Hours | |||||
| 
				 Governor’s Letter Requesting Secretarial 
				 
 | 
				 
 | 
				 
 | 
				 Letter | 
				 7 CFR Part 1945 | 
				 219 | 
				 2 | 438 | 
				 .50 
 | 219 | 
| 
				 Damage Assessment Report | 
				 
 | 
				 
 | 
				 Written | 
				 1945.19 & 1945.29 | 
				 1200 | 
				 1 | 1200 | 
				 .50 | 600 | 
| 
				 Telephone Survey Information | 
				 
 | 
				 
 | 
				 Tel. Survey | 
				 1945.2 | 
				 120 | 
				 1 | 120 | 
				 .25 | 30 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
				 
 | 
| 
				 TOTALS  | 
				 1,539 | 1.14 | 1,758 | 
				 
 | 849 | ||||
| File Type | application/msword | 
| File Title | REPRODUCE LOCALLY | 
| Author | helen smith | 
| Last Modified By | Maryann.ball | 
| File Modified | 2006-09-05 | 
| File Created | 2006-09-05 |