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. |
0560-0165 |
2. Title of Clearance |
7 CFR 785 Certified State Mediation Program |
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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 Certification |
1 |
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None |
CFR 785.3(a) |
35 |
1 |
35 |
6 |
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210 |
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Re-verification of Approval |
1 |
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None |
CFR 785.3(b) |
35 |
1 |
35 |
2 |
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70 |
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Eligibility Criteria for Amount of Grant Requested |
1 |
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None |
CFR 785.4(b) |
35 |
1 |
35 |
2 |
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70 |
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Reporting Requirements |
1 |
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None |
CFR 785.8(a) |
35 |
1 |
35 |
8 |
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280 |
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Audit Report |
1 |
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None |
CFR 785.8(b) |
35 |
1 |
35 |
16 |
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560 |
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Application for Federal Assistance |
1 |
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SF 424 OMB#4040-0004 |
CFR 785.4(b) |
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Assurances-Non-Construction |
1 |
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SF 424-B OMB#4040-0007 |
CFR 785.4 |
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Financial Status Report |
1 |
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SF 425 OMB#0348-0061 |
CFR785.4 |
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Disclosure of Lobbying Activities |
1 |
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SF LLL OMB#0348-0046 |
CFR 785.4 |
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Request for Advance or Reimbursement |
1 |
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SF 270 OMB#0348-0004 |
CFR 785.4 |
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Budget Information Non-Construction |
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SF-424A OMB #4040-0006 |
CFR 785.4 |
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TOTALS |
35 |
5 |
175 |
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0 |
1190 |
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| File Type | application/msword |
| File Title | This form is available electronically |
| Author | USDA-MDIOL00000DG8C |
| Last Modified By | maryann.ball |
| File Modified | 2010-03-03 |
| File Created | 2006-12-07 |