This form is available electronically. |
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FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency
Reporting and Recordkeeping Requirements
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1. OMB No. |
0560-0183 |
2. Title of Clearance |
Assignments of Payments and Joint Payment authorizations |
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3.
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4.
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5.
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6.
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7.
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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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Record
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Form No.
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Regulation Part/Sec. |
8.
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9.
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10.
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11.
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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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Assignment of Payment |
X |
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CCC-36 or CCC-36(SP) |
7 CFR 1404.4 |
93,423 |
1 |
93,423 |
10 min |
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15,570 |
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Notice of Assignment |
X |
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CCC-251 |
7 CFR 1404.4 |
80 |
1 |
80 |
10 min |
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13 |
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Instrument of Assignment |
X |
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CCC-252 |
7 CFR 1404.4 |
80 |
1 |
80 |
5 min |
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7 |
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Joint Payment Authorization |
X |
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CCC-37 or CCC-37(SP) |
None |
29,359 |
1 |
29,359 |
10 min |
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4,893 |
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Request For FSA Payment of Federal Benefits by Check (Req. fo |
X |
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CCC-40 or CC-40 (SP) |
31 CFR Part 208 |
3,600 |
1 |
3,600 |
10 min |
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600 |
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TOTALS |
126,542 |
1 |
126,542 |
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21,083 |
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| File Type | application/msword |
| File Title | This form is available electronically |
| Author | USDA-MDIOL00000DG8C |
| Last Modified By | SYSTEM |
| File Modified | 2018-07-19 |
| File Created | 2018-07-19 |