FSA-85-1 Reporting and Recordkeeping Requirement

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-NEW

2. Title of Clearance

Direct Loan Making Page 1- Microloan Program

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

Request for loan making assist. /LM individuals & married app.

 

 

FSA-2330 (Farmer)

764.51(c)

5,017* 17(e)*

.751

3,781

90

     

5,672

Request for loan making assist. /LM - entity

 

 

FSA-2330 (Farmer)

764.51(c)

< 10*

.333

< 10

120

     

0

Three-Year Financial History - new and existing applicants

 

 

FSA-2002 (Farmer)

764.51 (b)(4)

1,742

1

1742

20

     

581

Three-Year Production History - new and existing applicants

 

 

FSA-2003 (Farmer)

764.51 (b)(5)

1,742

1

1742

20

     

581

Authorization to release information - LM application

 

 

FSA-2004 (Farmer)

764.51(b)

<10

1

<10

10

     

0

Statement required by the Privacy Act

FSA-2007 (Farmer)

764.402

<10*

1

<10

15

0

Verification of income - loan making (only if additional info required).

 

 

FSA-2014 (Business?)

764.51 (b)(8)

<10*

1

<10

15

     

0

Verification of debts and assets - loan making - OL (only if add info required)

 

 

FSA-2015 (Business?)

764.51 (b)(12)

<10*

3

<10

20

     

0

Promissory note - individual 

 

 

FSA-2026 (Farmer)

764.402 (a)(1)

2920

1

2920

20

     

973

Promissory note - entity members

 

 

FSA-2026 (Farmer)

764.402 (a)(1)

<10

1

<10

20

     

0

Supplemental payment agreement

 

 

FSA-2027 (Farmer)

764.254 766.109

< 10

1

<10

15

     

0

Security agreement - OL lien on property financed

 

 

FSA-2028 (Farmer)

764.255 (b)

2,920

1

2920

20

     

973

RE mortgage/deed of trust 

 

 

FSA-2029M/2029D (Farmer)

764.103 

<10

1

<10

30

     

0

Assignment of proceeds & consent to payment - applicant

 

 

FSA-2041, FSA-2042 (Farmer)

764.402 765.303

<10

1

<10

20

     

0

Assignment of proceeds & consent to payment - purchaser

 

 

FSA-2041, FSA-2042 (Business)

764.402 765.303

<10*

3

<10

20

     

0

SUBTOTALS 

5,034*

     

13,105

     

8,780

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-NEW

2. Title of Clearance

Direct Loan Making Page 2 Revised 05/07/12

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

Assignment of dairy proceeds- applicant

 

 

FSA-2043 (Farmer)

764.402

<10

1

<10

20

     

0

Assignment of dairy proceeds - purchaser

 

 

FSA-2043 (Business)

764.402

<10*

3

<10

20

     

0

Notification of loan approval and conditions

 

 

FSA-2313 (Farmer)

764.401 (a)

2,920

1

2,920

20

     

973

Report of lien search

 

 

FSA-2360 (Business)

764.402

108*

1

108

30

     

54

Request for waiver of borrower training requirements

 

 

FSA-2370 (Farmer)

764.453

5,034

1

5,034

30

     

2,517

Agreement to complete training

 

 

FSA-2371 (Farmer)

764.452

1,660

1

1,660

15

     

415

Borrower training course evaluation - borrower

 

 

FSA-2376 (Farmer)

764.454

801

1

801

23

     

307

Entity information – loan application

Non-form (Farmer)

764.51(b)(2)

<10

1

<10

15

0

Documentation other credit is not available – applicant

Non-form (Farmer)

764.51(b)(6)

<10

1

<10

60

0

Copy of legal description of RE to purchase, leases, agreements

Non-form (Farmer)

764.51(b)(10)

2,517

1

2,517

15

629

Information needed to evaluate application

Non-form (Farmer)

764.51(b)(13)

146

1

146

15

37

Citizenship status documentation

Non-form (Farmer)

764.101 (c)

<10

1

<10

15

0

Evidence of hazard insurance

Non-form (Farmer)

764.108

1,238

1

1,238

15

310

Evidence of crop insurance

Non-form (Farmer)

764.108

1,765

1

1,765

15

441

Circumstances beyond borrower’s control for not completing BT

 

 

Non-form (Farmer)

764.454 (a)(2)

78

1

78

15

     

20

SUBTOTALS 

108*

16,267

     

5,703

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-NEW

2. Title of Clearance

Direct Loan Making Page 3 Revised 05/07/12

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

Travel time     

 

 

     

     

     

    

     

     

     

7,562

* Denotes unduplicated respondents

 

 

     

     

     

    

     

     

     

     

(e) denotes electronic submission of collection

 

 

     

     

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

SUBTOTALS

0*

     

0

     

7,562

TOTALS 

5,142*

29,372

22,045