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-New |
2. Title of Clearance |
7 CFR Part 701 - Conservation and Environmental Programs |
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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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Request for Cost/Share Pract. Approval and Payment Application |
X |
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AD-245 |
7 CFR 701 |
5,000 |
5.5 |
28,000 |
26.8m |
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12,500 |
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Certificate Regarding Debarment, Suspension, and Other Matters (including MOU) |
X |
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AD-1047 (including MOU) |
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600 |
1 |
600 |
2 hr |
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1,200 |
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Travel Time for Respondents |
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5,000 |
5 |
25,000 |
1 Hr |
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25,000 |
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TOTALS |
5,600 |
6 |
28,000 |
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38,700 |
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| File Type | application/msword |
| File Title | This form is available electronically |
| Last Modified By | maryann.ball |
| File Modified | 2009-11-19 |
| File Created | 2009-11-19 |