| This form is available electronically. | ||||||||||||||
| FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
 | 1. OMB No. | 1 | 2. Title of Clearance | 7 CFR Part 701 - Conservation and Environmental Programs | ||||||||||
| 
					 | 
					 | |||||||||||||
| 
					 3. 
 | 
					 4. 
 | 
					 5. 
 | 
					 6. 
 | 
					 7. 
 | Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) | |||||||||
| Description (Title of Form, Report or Record) | Report 
 | Record
 | Form No. 
 | Regulation Part/Sec. | 
					 8. 
 | 
					 9. 
 | 
					 10. 
 | 
					 11. 
 | 12. Total Burden Hours | |||||
| 
					 | 
					 | 
					 | 
					 | 
					 | No. of Respondents | No. of Reports Filed Per Person | Total Annual Responses | 
					 Average Time to Respond 
 | 
					 Exempt | Non-Exempt | ||||
| Request for Cost-Sharing/Practice Approval and Payment | X | 
 | AD-245 | 7 CFR 701 | 90,000 | 2 | 90,000 | 15 min | 
 | 22,500 | ||||
| Applicant's Agreement to Complete an Uncompleted Practice | X | 
 | FSA-18 | 701.10 | 300 | 1 | 300 | 10 min | 
 | 50 | ||||
| Emergency Conservation Program Gulf of Mexico, Poultry | 
 | X | FSA-849 | 7 CFR 701 | 120 | 
 | 120 | 15 min | 
 | 30 | ||||
| Payment Eligibility Average Adjusted Gross Income Certificatio | X | 
 | CCC-526 | 7 CFR 1400 | 360 | 1 | 360 | 5 min | 
 | 30 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| Travel Time for Respondents | 
 | 
 | 
 | 
 | 45,000 | 
 | 45,000 | 60 min | 
 | 45,000 | ||||
| TOTALS  | 90,000 | 1 | 90,420 | 
					 | 
 | 67,610 | ||||||||
	
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Last Modified By | Maryann.ball | 
| File Modified | 2007-10-17 | 
| File Created | 2007-06-25 |