| 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 | |||
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					 | No. of Respondents | No. of Reports Filed Per Person | Total Annual Responses | Average Time to Respond | Exempt | Non-Exempt | ||
| Item 19-Subsequent Examination Report (Processed Commodities) | x | 
 | WA-562 | 1423.9 735 | 50 
 
 | 1 | 50 | .50 | 
 | 25 | ||
| Item 20-Inventory Adjustment Notice (Processed Commodities) | x | 
 | WA-570 | 1423.9 735 | 50 | 1 | 50 | .50 | 
 | 25 | ||
| Item 21-Port Terminal Inspection Checklist | x | 
 | WA-580 | 1423.9 735 | 10 | 1 | 10 | .50 | 
 | 5 | ||
| Item 22-Transloading Inspection Checklist | x | 
 | WA-580-1 | 1423.9 735 | 10 | 1 | 10 | .50 | 
 | 5 | ||
| Item 23-Addendum to the Terms and conditions of Licensing/Provider Agreement | x | 
 | WA-400 | 735 | 100 | 1 | 100 | .50 | 
 | 50 | ||
| Item 24-Licensing Agrement for Cotton Warehouses | x | 
 | WA-401 | 735 | 204 | 1 | 204 | .50 | 
 | 102 | ||
| Item 25-Licensing Agreement for Grain Warehouses | x | 
 | WA-402 | 735 | 1000 | 1 | 1000 | .50 | 
 | 500 | ||
| Item 26-Licensing Agreement for Wool Warehouses | x | 
 | WA-403 | 735 | 10 | 1 | 10 | .50 | 
 | 5 | ||
| Item 27-Licenisng Agreement for Tobacco Warehouses | x | 
 | WA-404 | 735 | 10 | 1 | 10 | .50 | 
 | 5 | ||
| Item 28-Licensing Agreement for Nut Warehouses | x | 
 | WA-405 | 735 | 10 | 1 | 10 | .50 | 
 | 5 | ||
| Item 29-Licensing Agreement for Dry Bean Warehouses | x | 
 | WA-406 | 735 | 15 | 1 | 15 | .50 | 
 | 8 | ||
| Item 30-Licensing Agreement for Sweeteners Warehouses | x | 
 | WA-407 | 735 | 10 | 1 | 10 | .50 | 
 | 5 | ||
| Item 31-Licensing Agreement for Cottonseed Warehouses | x | 
 | WA-408 | 735 | 10 | 1 | 10 | .50 | 
 | 5 | ||
| TOTALS  | 
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| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | Fry, Judy - FSA, Washington, DC | 
| File Modified | 2014-12-10 | 
| File Created | 2014-12-10 |