Information Collection

Representation for CCC and FSA Loans and Authorization to File a Financing Statement

IC 184466 under ICR 200804-0560-002 · OMB 0560-0215.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0215 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Form
Instructions For CCC.doc forms.sc.egov.usda.gov/eforms/formsearchservlet	Instruction
CCC-10 Representation for CCC and FSA Loans and Authorization t CCC0010.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form

IC Title:

Representation for CCC and FSA Loans and Authorization to File a Financing Statement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CCC-10	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	CCC0010.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Instruction			Instructions For CCC.doc	http://forms.sc.egov.usda.gov/eforms/formsearchservlet	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27,750

Number of Respondents for Small Entity: 27,750

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 4 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	27,750	27,750
Annual IC Time Burden (Hours)	16,178	16,178
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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