| 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 
 
 
 
 | 1. OMB No. | 0560-0238 | 2. Title of Clearance | General Program Administrartion Page 1 | 
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				 3. 
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				 7. 
 | 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 
 | Record
 | Form No. 
 | Regulation Part/Sec. | 
				 8. 
 | 
				 9. 
 | 
				 10. 
 | 
				 11. 
 | 12. Total Burden Hours | 
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				 | No. of Respondents | No. of Reports Filed Per Person | Total Annual Responses | 
				 Average Time to Respond 60 | 
				 Exempt | Non-Exempt | 
				 | ||||||
| FBP - Balance sheet - YEA, limited resource review | 
 | 
 | FSA-2037 (Farmer) | 761.102; 761.105 | 24,000* | 1 | 24,000 | 1 | 
 | 24,000 | 
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| FBP - Balance sheet - loan making requests - individual | 
 | 
 | FSA-2037 (Farmer) | 764.51 | 20,350* 
 | 1 | 20,350 | 75 | 
 | 25,438 | 
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| FBP - Balance sheet - loan making requests – entity membr. | 
				 | 
				 | FSA-2037 (Farmer) | 764.51 | 7,650* | 1 | 7,550 | 75 | 
				 | 9,563 | 
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| FBP - Balance sheet - loan closing >90 days – individual | 
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 | FSA-2037 (Farmer) | 764.401 | 1,800 | 1 | 1,800 | 15 | 
 | 450 | 
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| FBP - Balance sheet - loan closing >90 days – entity memb. | 
				 | 
				 | FSA-2037 (Farmer) | 764.401 | 540 | 1 | 540 | 15 | 
				 | 135 | 
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| FBP - Balance sheet - adverse decision update | 
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 | FSA-2037 (Farmer) | 764.402 | 25 | 1 | 25 | 15 | 
 | 6 | 
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| FBP - Balance sheet - graduation review | 
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 | FSA-2037 (Farmer) | 765.101 | 9,500* | 1 | 9,500 | 60 | 
 | 9,500 | 
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| FBP - Balance sheet - subordin. request – individual | 
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 | FSA-2037 (Farmer) | 765.205 | 7,198* | 1 | 7,198 | 10 | 
 | 1,466 | 
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| FBP - Balance sheet - subordin. request – entity member | 
				 | 
				 | FSA-2037 (Farmer) | 765.205 | 2,092* | 1 | 2,092 | 10 | 
				 | 356 | 
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| FBP - Balance sheet - transfer and assumption | 
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 | FSA-2037 (Farmer) | 765.404 | 150* | 1 | 150 | 60 | 
 | 150 | 
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| FBP - Balance sheet - primary loan servicing – individual | 
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 | FSA-2037 (Farmer) | 766.102 (a) | 2,938* | 1 | 2,938 | 60 | 
 | 2,958 | 
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| FBP - Balance sheet - primary loan servicing – entity memb. | 
				 | 
				 | FSA-2037 (Farmer) | 766.102 (a) | 858* | 1 | 858 | 60 | 
				 | 858 | 
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| FBP - Balance sheet - financially distressed | 
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 | FSA-2037 (Farmer) | 766.102 (d) | 22 | 1 | 22 | 15 | 
 | 6 | 
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| FBP - Balance sheet - shared appreciation – individual | 
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 | FSA-2037 (Farmer) | 766.204 | 54* | 1 | 54 | 60 | 
 | 54 | 
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| FBP - Balance sheet - shared appreciation – entity member | 
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				 | FSA-2037 (Farmer) | 766.204 | 18* | 1 | 18 | 60 | 
				 | 18 | 
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| FBP - Balance sheet - voluntary conveyance – individual | 
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 | FSA-2037 (Farmer) | 766.353; 766.354 | 11* | 1 | 11 | 30 | 
 | 6 | 
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| FBP - Balance sheet - voluntary conveyance – entity member | 
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				 | FSA-2037 (Farmer) | 766.353; 766.354 | 3* | 1 | 3 | 30 | 
				 | 2 | 
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| SUBTOTALS  | 73018 | 
 | 75,405 | 
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				 | 74966 | 
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| This form is available electronically. | |||||||||||||||||
| FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
 | 1. OMB No. | 0560-0238 | 2. Title of Clearance | General Program Administrartion Page 2 | |||||||||||||
| 
				 | 
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| 
				 3. 
 | 
				 4. 
 | 
				 5. 
 | 
				 6. 
 | 
				 7. 
 | Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) | ||||||||||||
| Description (Title of Form, Report or Record) | Report 
 | Record
 | Form No. 
 | Regulation Part/Sec. | 
				 8. 
 | 
				 9. 
 | 
				 10. 
 | 
				 11. 
 | 12. Total Burden Hours | ||||||||
| 
				 | 
				 | 
				 | 
				 | 
				 | No. of Respondents | No. of Reports Filed Per Person | Total Annual Responses | 
				 Average Time to Respond 
 | 
				 Exempt | Non-Exempt | |||||||
| FBP - Income and Expense - typical plan | 
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 | FSA-2038 (Farmer) | 761.2(b) | 325 | 1 | 325 | 15 | 
 | 81 | |||||||
| FBP - Income and Expense - YEA, limited resource review | 
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 | FSA-2038 (Farmer) | 761.102; .104;.105 | 24,000 | 1 | 24,000 | 90 | 
 | 36,000 | |||||||
| FBP - Income and Expense - loan making requests | 
 | 
 | FSA-2038 (Farmer) | 764.51(b)& (c) | 19,750 
 | 1 | 19,750 | 90 | 
 | 29,438 | |||||||
| FBP - Income and Expense - adverse decision update | 
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 | FSA-2038 (Farmer) | 764.401 (c) | 25 | 1 | 25 | 15 | 
 | 6 | |||||||
| FBP - Income and Expense - loan closing >90 days | 
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 | FSA-2038 (Farmer) | 764.402 (a) | 1,800 | 1 | 1,800 | 15 | 
 | 450 | |||||||
| FBP - Income and Expense - graduation review | 
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 | FSA-2038 (Farmer) | 765.101 | 9,500 | 1 | 9,500 | 90 | 
 | 14,250 | |||||||
| FBP - Income and Expense - subordination request | 
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 | FSA-2038 (Farmer) | 765.205 (a) & (b) | 7,197 | 1 | 6,974 | 10 | 
 | 1,466 | |||||||
| FBP - Income and Expense - junior lien request | 
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 | FSA-2038 (Farmer) | 765.206 | 740* | 1 | 740 | 10 | 
 | 126 | |||||||
| FBP - Income and Expense - severance agreement request | 
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 | FSA-2038 (Farmer) | 765.207 | 740* | 1 | 740 | 10 | 
 | 126 | |||||||
| FBP - Income and Expense - cease operating security | 
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 | FSA-2038 (Farmer) | 765.253 | 740* | 1 | 740 | 30 | 
 | 370 | |||||||
| FBP - Income and Expense - transfer and assumption | 
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 | FSA-2038 (Farmer) | 765.404 | 150 | 1 | 150 | 90 | 
 | 225 | |||||||
| FBP - Income and Expense - release of liability w/transfer | 
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 | FSA-2038 (Farmer) | 765.406 | 150* | 1 | 150 | 30 | 
 | 75 | |||||||
| FBP - Income and Expense - request for disaster set-aside | 
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 | FSA-2038 (Farmer) | 766.52(a) | 7,396* | 1 | 7,396 | 90 | 
 | 11,094 | |||||||
| FBP - Income and Expense -primary loan servicing request | 
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 | FSA-2038 (Farmer) | 766.102 (a) | 2938 | 1 | 2,938 | 90 | 
 | 4,387 | |||||||
| FBP - Income and Expense - financially distressed | 
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 | FSA-2038 (Farmer) | 766.102 (d) | 22 | 1 | 22 | 15 | 
 | 6 | |||||||
| SUBTOTALS  | 
				 | 
 | 
				 | 
				 | 
 | 98,100 | |||||||||||
| This form is available electronically. | ||||||||||||||
| FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
 | 1. OMB No. | 0560-0238 | 2. Title of Clearance | General Program Administrartion Page 3 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 3. 
 | 
				 4. 
 | 
				 5. 
 | 
				 6. 
 | 
				 7. 
 | Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) | |||||||||
| Description (Title of Form, Report or Record) | Report 
 | Record
 | Form No. 
 | Regulation Part/Sec. | 
				 8. 
 | 
				 9. 
 | 
				 10. 
 | 
				 11. 
 | 12. Total Burden Hours | |||||
| 
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				 | 
				 | 
				 | 
				 | No. of Respondents | No. of Reports Filed Per Person | Total Annual Responses | 
				 Average Time to Respond 
 | 
				 Exempt | Non-Exempt | ||||
| FBP - Income and Expense - divorced spouse ROL | 
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 | FSA-2038 (Farmer) | 766.102 (f) | 150 | 1 | 150 | 30 | 
 | 75 | ||||
| FBP - Income and Expense - post-deferral request | 
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 | FSA-2038 (Farmer) | 766.109 (a) | 807 | 1 | 807 | 30 | 
 | 404 | ||||
| FBP - Income and Expense - homestead protection request | 
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 | FSA-2038 (Farmer) | 766.151 (a) & (b) | 21 | 1 | 21 | 30 | 
 | 11 | ||||
| FBP - Income and Expense - shared appreciation request | 
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 | FSA-2038 (Farmer) | 766.204 | 54 | 1 | 54 | 90 | 
 | 81 | ||||
| FBP – summary of year’s business | 
				 | 
				 | FSA-2039 (Farmer) | 
				 | 1,800 | 1 | 1,800 | 20 | 
				 | 594 | ||||
| Deposit agreement – loan making and RE proceeds - applicant | 
				 | 
				 | FSA-2140 (Farmer) | 761.51(a) 765.352 | 500* | 1 | 500 | 10 | 
 | 85 | ||||
| Deposit agreement – loan making and RE proceeds – lender | 
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 | FSA-2140 (Business) | 761.51(a) 765.352 | 400* | 1.327 | 531 | 10 | 
				 | 90 | ||||
| Interest-bearing deposit agreement – applicant | 
				 | 
				 | FSA-2141 (Farmer) | 761.53 765.352 | 10 | 1 | 10 | 10 | 
				 | 2 | ||||
| Interest-bearing deposit agreement – lender | 
				 | 
				 | FSA-2141 (Business) | 761.53 765.352 | 10 | 1 | 10 | 10 | 
				 | 2 | ||||
| Development plan | 
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 | FSA-2150 (Farmer) | 761.10(b) 765.205 | 2817 | 1 | 2,817 | 15 | 
				 | 704 | ||||
| Release by claimants | 
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 | FSA-2153 (Business) | 761.10(f) | 345* | 1 | 345 | 15 | 
				 | 86 | ||||
| Release by contractor | 
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 | FSA-2154 (Business) | 761.10(f) | 1,367* | 1 | 1,367 | 15 | 
				 | 342 | ||||
| Applicant/borrower obtains FSA 2153/FSA 2154 | 
 | 
 | FSA-2153 FSA-2154 (Farmer) | 761.10(f) | 467 | 3.6 | 1,712 | 30 | 
				 | 856 | ||||
| Tech. data, tests, engineering evaluation, certif. of comp. | 
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 | Non-form (Farmer) | 761.10(c) & (d) | 1,151 | 1 | 1,151 | 30 | 
				 | 576 | ||||
| Written certification of inspection | 
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 | Non-form (Farmer) | 761.10(e) | 540 | 1 | 540 | 15 | 
				 | 135 | ||||
| Surety requirement | 
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 | Non-form (Business) | 761.10(g) | 25 | 1 | 25 | 10 | 
				 | 4 | ||||
| SUBTOTAL  | 
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 | 4047 | ||||||||
| This form is available electronically. | ||||||||||||||
| FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
 | 1. OMB No. | 0560-0238 | 2. Title of Clearance | General Program Administration Page 4 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 3. 
 | 
				 4. 
 | 
				 5. 
 | 
				 6. 
 | 
				 7. 
 | Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) | |||||||||
| Description (Title of Form, Report or Record) | Report 
 | Record
 | Form No. 
 | Regulation Part/Sec. | 
				 8. 
 | 
				 9. 
 | 
				 10. 
 | 
				 11. 
 | 12. Total Burden Hours | |||||
| 
				 | 
				 | 
				 | 
				 | 
				 | No. of Respondents | No. of Reports Filed Per Person | Total Annual Responses | 
				 Average Time to Respond 
 | 
				 Exempt | Non-Exempt | ||||
| Revised surety requirement for change in development plan | 
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 | Non-form (Business) | 761.10(g) | 25 | 1 | 25 | 10 | 
				 | 4 | ||||
| Request to change planned development | 
 | 
 | Non-form (Farmer) | 761.10(h) | 72 | 1 | 72 | 15 | 
				 | 18 | ||||
| Pledge of collateral when SBA balance exceeds $100,000 | 
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 | Non-form (Business) | 761.51(e) | 10* | 1 | 10 | 10 | 
				 | 2 | ||||
| Request to release collateral when SBA balance <$100,000 | 
 | 
 | Non-form (Business) | 761.51(e)(2) | 10* | 1 | 10 | 10 | 
				 | 2 | ||||
| withdrawal of funds from SBA | 
 | 
 | Non-form (Farmer) | 761.54(a) & (b) | 750 | 5 | 3,750 | 10 | 
				 | 638 | ||||
| Copies of income tax returns | 
 | 
 | Non-form (Farmer) | 761, 764, 766 | 6,825 | 1 | 6,825 | 15 | 
				 | 1,706 | ||||
| Development of loan assessment | 
 | 
 | Non-form (Farmer) | 761.103 (a) & (b) | 5,531* | 1 | 5,531 | 30 | 
				 | 2,766 | ||||
| Assessment update | 
 | 
 | Non-form (Farmer) | 761.103 (c) & (d) | 16,450 | 1 | 16,450 | 10 | 
				 | 2,797 | ||||
| Evidence of premium price for commodities | 
 | 
 | Non-form (Farmer) | 761.104 (d) | 1,645 | 1 | 1,645 | 10 | 
				 | 280 | ||||
| Actual income, production, expenses, and financial records | 
 | 
 | Non-form (Farmer) | 761.105 (b) | 24,000 | 1 | 24,000 | 60 | 
				 | 24,000 | ||||
| FBP-Balance Sheet- Farm Facility Loans | 
 | 
 | FSA-2037 (Farmer) | 7 CFR 1436.4 
 | 1000 | 1 | 1000 | 75 | 
 | 1,250 | ||||
| FBP-Income and Expense- Farm Facility Loans | 
 | 
 | FSA-2038 (Farmer) | 7 CFR 1436.4 | 1000 | 1 | 1000 | 90 | 
 | 1,500 | ||||
| Travel time | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 40,424 | ||||
| * Denotes unduplicated respondents | 
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 | 
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| (e) denotes electronic submission of collection | 
 | 
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 | 
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| SUBTOTAL | 
 | 
 | 
 | 
 | * | 
 | 
				 | 
 | 
 | 75,387 | ||||
| TOTALS  | 94,751* | 
 | 224,841 | 
				 | 
 | 252,500 | ||||||||
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | maryann.ball | 
| File Modified | 2011-04-11 | 
| File Created | 2011-04-11 |