| 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. | 0560-0177 | 2. Title of Clearance | 7 CFR, 1400, Subchapter C, 7 USC 7285 and 15 USC 714 B and C, 7 CFR Chapter 14, 1496, Subchapter B and C, 7 CFR 1430, 7 CFR 2.65, 7 CFR 1423.1 & 7 CFR 1496.2 | ||||||||||
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 | 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. | 
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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 | ||||
| Preliminary/Final Discharge/Delivery Survey Summary | X | 
 | KC-334 | 7 CFR 1400 | 6 | 150 | 900 | 3 min | 
 | 45 | ||||
| Rate Schedule | X | 
 | KC-337 | 7 CFR 1400 | 35 | 1 | 35 | 30 min | 
 | 18 | ||||
| Shipment Information Log | X | 
 | KC-366 | 7 CFR 1496 | 52 | 40 | 2080 | 15 min | 
 | 520 | ||||
| Bulk Grain Procurement Offer Form | X | 
 | KC-331 | 7 CFR, Chapter 14 1496, Subchapter B and C | 12 | 23 | 276 | 15 min | 
 | 69 | ||||
| Dairy and Domestic Offer Forms | X | 
 | KC-327 | 7 CFR Chapter 14, Subchapter B 
 | 70 | 8 | 560 | 20 min | 
 | 186 | ||||
| Notice to Deliver (Self Certification) | X | 
 | KC-269 | 7 CFR 2.65, 7 CFR 1423.1 & 7 CFR 1496.2 | 120 | 100 | 12000 | 5 min | 
 | 960 | ||||
| RSCS Offer Form (multi Div) | X | 
 | KC-327-RSCS | 7 CFR, Chapter 14, Subchapter B | 26 | 14 | 394 | 30 | 182 | 
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| Diary-6 Offer Forms/Price Support Cancellation Request | X | 
 | KC-327 Dairy 6A, 6B | 7 CFR 1430 | 5 | 260 | 1300 | 15 min | 325 | 
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| Delivery Status Report | X | 
 | KC-327 DELVSTAT | 7 CFR 1430 | 400 | 4 | 1600 | 30 min | 
 | 800 | ||||
| Application for Port/Trans-Load Facility Approval | X | 
 | KC-359 | 7 CFR 1496.6 | 10 | 1 | 10 | 15 min | 
 | 3 | ||||
| Port Entry System 
 | X | 
			 | KC-144 | 7 CFR, subtitle B, Chapter 14, Part 1496.6 | 20 | 24 | 480 | 4 min | 
 | 32 | 
| Export Offer Forms | x | 
			 | KC: BWSF, CMSB,CSSM, KCBF, MF, MR, PBL, SFSG, SFRO, TAL, WO, WSB, WFBF, WME, SFSO, CO, BO, SFFR, CPS, BGGR,KC-333, And KC-P Bags | 7 CFR 1400, Subchapter C | 193 | 12 | 2316 | 20 min | 
			 | 772 | 
| TOTALS  | 949 | 625 | 21921 | 
			 | 507 | 3405 | ||||
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | Maryann.ball | 
| File Modified | 2008-08-14 | 
| File Created | 2007-08-30 |