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. |
0560-0146 |
2. Title of Clearance |
Debt Settlement Policies and Procedures |
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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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Installment Agreement |
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7CFR792; 7CFR1403 |
100 |
1 |
100 |
30 min |
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50 |
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Financial Statement |
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7 CFR792; 7CFR1403 |
100 |
1 |
100 |
15 min |
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25 |
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Promissory Note |
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CCC-279 |
7CFR792; 7CFR1403 |
100 |
1 |
100 |
15 min |
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25 |
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100 |
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Travel Time |
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100 |
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100 |
60 min |
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TOTALS |
300 |
1 |
300 |
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200 hrs |
File Type | application/msword |
File Title | This form is available electronically |
Author | USDA-MDIOL00000DG8C |
Last Modified By | Maryann.ball |
File Modified | 2009-04-09 |
File Created | 2009-04-09 |