| 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-NEW | Dairy Assistance Progam for Puerto Rico (DAP-PR) in Response to 2017 hurricanes | |||||||||||
| 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 | ||
| Puerto Rico Dairy Request for Assstance | X | 
 | CCC-315 (computer generated) | 
 | 277 | 1 | 277 | 5 min | 
 | 23 | ||
| Puerto Rico Dairy Voucher portion - Dairy signs | 
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 | CCC-315-V | 
 | 277 | 4 | 1108 | 5 min | 
 | 92 | ||
| Puerto Rico Dairy Voucher portion- Vendor signs (NOTE: Each dairy may go to any vendor; vendors \ | 
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 | CCC-315-V | 
 | 3 | 369 | 1108 | 5 min | 
 | 92 | ||
| may sign up 3 times per dairy, but in no case will ther be more than 1108 total vendor signatures | 
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| TOTALS  | 280 | 
 | 2493 | 
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 | 207 | ||||||
	
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | SYSTEM | 
| File Modified | 2017-10-18 | 
| File Created | 2017-10-18 |