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| FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
 | 1. OMB No. | 0560-0177 | 2. Title of Clearance | 22 CFR 211.9 | 
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			 7. 
 | Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) | 
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| Description (Title of Form, Report or Record) | Report 
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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 | 
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| Preliminary/Final Discharge/Delivery Survey Summary Still Used Not in WBSCM | X | X | KC-334 | 22 CFR 211.9 | 6 | 75 | 450 | 30 min .50x 
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| Rate Schedule Still Used Not in WBSCM | X | X | KC-337 | 22 CFR 211.9 | 35 | 1 | 35 | 15 min .25x | 
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| TOTALS  | 41 | 76 | 485 | 
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| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | Ball, MaryAnn - FSA, Washington, DC | 
| File Modified | 2017-01-13 | 
| File Created | 2017-01-13 |