Information Collection

Application For Assignment Of Indemnity, Transfer Of Right To An Indemnity, Claim For Cotton Indemnity

IC 100496 under ICR 199311-0563-001 · OMB 0563-0014.

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Document Name	Document Type

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IC Title:

APPLICATION FOR ASSIGNMENT OF INDEMNITY, TRANSFER OF RIGHT TO AN INDEMNITY, CLAIM FOR COTTON INDEMNITY

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FCI-20	No	No
Form	FCI-21	No	No
Form	FCI-74-B	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	30,000	30,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.