| 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. | 0560-0082 | 2. Title of Clearance | 7 CFR Part 701 - Emergency Conservation Program | ||||||||||
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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 
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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 Cost-Sharing/Practice Approval and Payment | X | 
 | AD-245 | 7 CFR 701 | 10,000 | 1 | 10,000 | 15 min | 
 | 2,500 | ||||
| Applicant's Agreement to Complete an Uncompleted Practice | X | 
 | FSA-18 | 701.10 | 300 | 1 | 300 | 10 min | 
 | 50 | ||||
| Members Information 2009 and Subsequent Years | X | 
 | CCC-901 | 7 CFR 1400 | 10,000 | 1 | 10,000 | 60 min | 
 | 10,000 | ||||
| Farm Operating Plan for an Individual 2009 and Subsequent Prog | X | 
 | CCC-902I | 7 CFR 1400 | 500 | 1 | 500 | 5 min | 
 | 42 | ||||
| Cost-Share Request | X | 
 | FSA-848 | 7 CFR 701 | 30,000 | 1 | 30,000 | 4 min | 
 | 2,000 | ||||
| Continuation Sheet for Cost-Share Request | X | 
 | FSA848-1 | 7 CFR 701 | 10,000 | 1 | 10,000 | 2 min | 
 | 333 | ||||
| Cost-Share Agreement | X | 
 | FSA-848A | 7 CFR 701 | 30,000 | 1 | 30,000 | 3 min | 
 | 1,500 | ||||
| Continuation Sheet for Cost-Share Agreement | X | 
 | FSA-848A-1 | 7 CFR 701 | 10,000 | 1 | 10,000 | 1 min | 
 | 167 | ||||
| Cost-Share Performance Certification and Payment | X | 
 | FSA-848B | 7 CFR 701 | 30,000 | 1 | 30,000 | 3 min | 
 | 1,500 | ||||
| Continuation Sheet for Cost-Share Performance Certification an | X | 
 | FSA-848B-1 | 7 CFR 701 | 10,000 | 1 | 10,000 | 2 min | 
 | 333 | ||||
| Addendum to AD-245 to Certify to Reconciliation of Payment | X | 
 | AD-245B | 7 CFR 701 | 10,000 | 1 | 10,000 | 2 min | 
 | 333 | ||||
| Pooling Agreement and Worksheet | X | 
 | ACP-153/ACP-153A | 7 CFR 701 | 20 | 1 | 20 | 60 min | 
 | 20 | ||||
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| Travel Time for Respondents | 
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 | 40,000 | 
 | 40,000 | 45 min | 
 | 30,000 | ||||
| TOTALS  | 40,000 | 1 | 150,820 | 
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 | 48,778 | ||||||||
	
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Last Modified By | maryann.ball | 
| File Modified | 2011-01-20 | 
| File Created | 2010-07-14 |