| 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. | 0560-0229 | 2. Title of Clearance | Nomination Form for County Farm Service Agency (FSA) Committee Election | ||||||||||
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					 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 
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 | Regulation Part/Sec. | 
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					 11. 
 | 12. Total Burden Hours | |||||
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					 | No. of Respondents | No. of Reports Filed Per Person | Total Annual Responses | 
					 Average Time to Respond 
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					 Exempt | Non-Exempt | ||||
| Nomination Form for County FSA Committee Election | x | 
 | FSA-669A | 7CFR1708.1-2 | 10,000 | 1 | 10,000 | .17 | 
 | 1,700 | ||||
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| Travel Time | 
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 | 5,000 | 
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 | 1 hour | 
 | 5,000 | ||||
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| TOTALS  | 10,000 | 1 | 10,000 | 
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 | 6,700 | ||||||||
	
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | Maryann.ball | 
| File Modified | 2008-06-17 | 
| File Created | 2008-02-11 |