| 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. | 0560-0176 | 2. Title of Clearance | Request for Aerial Photography | ||||||||||
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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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 | 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 | ||||
| Request for Aerial Photography | 
 | X | FSA-441 | USDA MEMO #755 | 1125 | 1 | 1125 | 15 min | 
 | 281 | ||||
| Non-Form Request | 
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 | USDA MEMO #755 | 3375 | 1 | 3375 | 15 min | 
 | 844 | ||||
| Research and Preparation | 
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 | USDA MEMO #755 | 4500 | 1 | 4500 | 25 min | 
 | 1875 | ||||
| Travel-Walk-in Customers | 
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 | USDA MEMO #755 | 100 | 1 | 100 | 60 min | 
 | 100 | ||||
| Custom Digital Print Form | 
 | X | FSA-441B | USDA MEMO #755 | 900 | 1 | 900 | 10 min | 
 | 150 | ||||
| Non-Form Request | 
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 | USDA MEMO #755 | 300 | 1 | 300 | 10 min | 
 | 50 | ||||
| Research and Preparation | 
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 | USDA MEMO #755 | 1200 | 1 | 1200 | 20 min | 
 | 400 | ||||
| Travel-Walk-in Customers | 
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 | USDA MEMO #755 | 20 | 1 | 20 | 60 min | 
 | 20 | ||||
| Service Quality Survey | 
 | X | FSA-441-C | USDA MEMO #755 | 400 | 1 | 400 | 5 min | 
 | 33 | ||||
| Non-Form Request | 
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 | USDA MEMO #755 | 200 | 1 | 200 | 5 min | 
 | 17 | ||||
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| TOTALS  | 6300 | 1 | 12120 | 
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 | 3770 | ||||||||
	
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | maryann.ball | 
| File Modified | 2009-09-23 | 
| File Created | 2009-05-20 |