| 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. | 0560-0280 
 | 2. Title of Clearance | Request for Special Priorities Assistance - APAS | ||||||||||
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				 4. 
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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 
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 | Form No. 
 | Regulation Part/Sec. | 
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				 9. 
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				 10. 
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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 | ||||
| Request for Special Priorities Assistance | 
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 | AD-2102 | 
 | 500 | 1 | 50 | 30 min | 
 | 25 | ||||
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| TOTALS  | 50 | 0 | 50 | 
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				 | 25 | ||||||||
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-20 |