FSA-85-1-Reporting and Recordkeeping Requirements

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.

2. Title of Clearance

0560-0120

Reporting Requirements Under U.S. Warehouse Act

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

Item 9 - Certificate of Loss of Canceled/Uncanceled Warehouse Receipts (Affidavit)

x

 

WA-139

735

500

1

500

.25

     

125

Item 10 - Agreement to Assume Grain Storage Obligations

x

 

WA-140

735

77

1

77

.25

     

19.25

Agreement with Respect to Agricultural Product Storage Obligations

x

 

WA-141

735

77

1

77

.25

     

19.25

Item 11-Warehouse Inspection Report (Cotton)

x

 

WA-220,221,222

735 1427.1084

140

1

140

.50

     

70

Item 12 - Warehouse Operator's Statement and Examiner's Comparison of Obligated Stocks

x

 

WA-225

735

140

1

140

.50

     

70

Item 13 - Order for Printing U.S. Warehouse Receipt Forms

x

 

WA-237

735

50

1

50

.17

     

8.50

Item 14 - Warehouse Inspection Report (Grain & Misc)

x

 

WA-302,303

735 1423.9

3546

1

3546

.50

     

1773

Item 15-Warehouse Operator's Statement-Stocks & Nonreceipted Obligations

x

 

WA-308

735 1423.9 

3546 

1

3546

.50

     

1773

     

 

 

     

1427.1084

     

     

     

     

     

     

Item 16-Warehouse Operator to Submit Copies of Rules and Schedules of Charges

x

 

WA-372 No required format

735

800

1

800

.25

     

200

Item 17-Licensing Agreement for Apple Juice Concentrate

x

 

WA-501

735

10

1

10

.50

     

5

Item 18-Licensing Agreement for Export Food Aid Commodities

x

 

WA-502

735

10

1

10

.50

     

5

Item 19-Original Warehouse Examination Report (Processed Commodities)

x

 

WA-561

1423 735

102

1

102

.50

     

51

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