| 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 701 Emergency Conservation Program & BCAP | ||||||||||
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| Description (Title of Form, Report or Record) | Report 
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 | Regulation Part/Sec. | 
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				 11. 
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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 | x | 
 | AD-245 | 7 CFR 701 | 10,000 | 1 | 10,000 | 15 min | 
				 | 2,500 
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| Applicant’s Agreement to Complete an Uncompleted | x | 
				 | FSA-18 | 701.10 | 400 | 1 | 400 | 10 min | 
				 | 57 | ||||
| Members Information 2009 and Subsequent Years | x | 
				 | CCC-901 | 7 CFR 1400 | 14,000 | 1 | 14,000 | 60 min | 
				 | 14,000 | ||||
| Farm Operating Plan for an Individual 2009 and Subsequent | x | 
				 | CCC-902I | 7 CFR 1400 | 500 | 1 | 500 | 5 min | 
				 | 42 | ||||
| Cost Share Agreement | x | 
				 | FSA-848 | 7 CFR 701 | 70,000 | 1 | 150,000 | 4 min | 
				 | 7334 | ||||
| Continuation Sheet for Cost-Share Request | x | 
				 | FSA-848-1 | 7 CFR 701 | 10,000 | 1 | 10,000 | 2 min | 
				 | 333 | ||||
| Cost-Share Agreement | x | 
				 | FSA-848A | 7 CFR 701 | 50,000 | 1 | 90,000 | 3 min | 
				 | 4267 | ||||
| Continuation Sheet for Cost-Share Requests | x | 
				 | FSA-848A-1 | 7 CFR 701 | 20,000 | 1 | 40,000 | 1 min | 
				 | 1500 
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| Cost Share Certification and Payment | x | 
				 | FSA-848B | 7 CFR 701 | 40,000 | 1 | 60,000 | 3 min | 
				 | 2833 | ||||
| Continuation Sheet for Cost-Share Performance Certification | x | 
				 | FSA-848B-1 | 7 CFR 701 | 20,000 | 1 | 40,000 | 2 min | 
				 | 1666 | ||||
| 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 | ||||
| Matching Payment Agreement /Request for Payment | x | 
				 | BCAP 10/11 (AD-245 web based) | 7 CFR 701, 1450 | 1,000 | 1 | 2000 | 40 min | 
				 | 1,333 | ||||
| Cert. Regarding Debarment, (including agree & BCAP-1) | x | 
				 | AD-1047 | 4 CFR 1450 | 50 | 1 | 50 | 2 Hours | 
				 | 100 | ||||
| Producer Contract/Appendix | x | 
				 | BCAP-24 | 7 CFR 1450 | 3750 | 1 | 3750 | 10 min | 
				 | 625 | ||||
| Producer Contract/Appendix | x | 
				 | BCAP-23 | 7 CFR 1450 | 5,625 | 1 | 5625 | 20 min | 
				 | 1875 | ||||
| Highly Erodible Cons. & Wetlands (0560-0185) | x | 
				 | AD-1026 | 7 CFR 12 | 20 | 1 | 20 | 15 min | 
				 | 5 | ||||
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| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 2 | ||||||||||
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				 3. 
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				 5. 
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				 6. 
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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 
 | Record
 | Form No. 
 | Regulation Part/Sec. | 
				 8. 
 | 
				 9. 
 | 
				 10. 
 | 
				 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 | ||||
| Conservation Cost Share Agreement (BCAP) | x | 
				 | FSA-848, 848A, 848B, 848-1 | 7 CFR 701 and 1410 | 5250 | 1 | 5250 | 15 min | 
				 | 1313 | ||||
| BCAP Project Area Proposal | x | 
				 | BCAP-20 and 21 (web-based) | 7 CFR 1450 | 20 | 1 | 20 | 20 hours | 
				 | 400 | ||||
| Environmental Screening worksheet | x | 
				 | BCAP 22 | 7 CFR 1450 | 20 | 1 | 20 | 15 min | 
				 | 5 | ||||
| Report of Acreage (0560-0004) | x | 
				 | FSA-578 | 7 CFR 1450 | 3750 | 1 | 3750 | 45 min | 
				 | 2813 | ||||
| Assignment of Payment | x | 
				 | CCC-36 (0560-0183) | 7 CFR 1404 | 4750 | 1 | 9,500 | 10 min | 
				 | 1583 | ||||
| Joint Payment Authorization (0560-0183) | x | 
				 | CCC-37 (0560-0183) | 15 U.S.C. 714 | 2375 | 1 | 4750 | 10 min | 
				 | 792 | ||||
| Voluntary Permanent CAB/contract Acreage Reduction | x | 
				 | CCC-505 | 7 CFR 1450 | 3,000 | 1 | 3,000 | 5 min | 
				 | 250 | ||||
| Certification of Compliance for Biomass Crop Assistance Program | x | 
				 | BCAP-817U | 7 CFR 1450 | 3750 | 1 | 3750 | 10 min | 
				 | 625 | ||||
| Agreement to complete an Uncompleted Practice | x | 
				 | FSA-18 | 7 CFR 701-10 | 100 | 1 | 100 | 10 min | 
				 | 17 | ||||
| Power of Attorney and Continuation | x | 
				 | FSA-211 and 211A(0560-0190) | PL 110-2461, | 1,000 | 1 | 1,000 | 30 min | 
				 | 500 | ||||
| Appl.for Payment of Amounts due Persons Who have Died or (isapp. | x | 
				 | FSA-325 (0560-0026) | 7 CFR 707 | 10 | 1 | 10 | 30 min | 
				 | 5 | ||||
| Travel Times | 
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				 | 44750 | 
				 | 49,500 | 1 hour | 
				 | 39,500 | ||||
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| SUBTOTALS  | 173,220 | 
 | 476,915 | 
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 | 86,519 | ||||||||
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | maryann.ball | 
| File Modified | 2013-06-25 | 
| File Created | 2013-06-21 |