Fsa-85-1

FSA-85-1 (03-26-03)	U.S. Department of Agriculture Farm Service Agency Reporting and Record keeping Requirements					OMB No 0560-New				Title of Clearance Noninsured Crop Disaster Assistance Program
3. Description (Title of Form, Report or Record		4. Report	5. Record	6. Form No.	7. Regulation Part/Sec.	Annul Burden on the Public (Col. 8 x 9 = 10 and Col. 10 x 11 = 12)
						8. No. of Respondents	9. No. of Reports Filed Per Person	10. Total Annual Responses	11. Average Time to Respond		12. Total Burden Hours
											Non-Exempt
Statement of Compliance with Program Provisions of the 2009-Crop Noninsured Crop Disaster Program (NAP) and Waiver of Finality of Payment Provisions (temp. form)	x			CCC-583		5000	5	5000	5 minutes		417
TOTALS						5,000	1	5,000			417

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