Representation for CCC and FSA Loans and Authorization to File a Financing Statement

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Form	Modified	Available
Form CCC-10 Representation for Commodity Credit Corporation or Farm Service Agency Loans and Authorization to File a Financing Statement and Related Documents	Form	Unchanged	Available
FSA-85-1-Reporting and Recordkeeping Requirements.doc	Supplementary Document	Uploaded 2011-08-10	Available
Supporting Statement 2011.doc	Supporting Statement A	Uploaded 2011-07-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184466	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Form	Modified	Representation for CCC and FSA Loans and Authorization to File a Financing Statement
184466	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Instruction	Modified
1534	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Form	Unchanged	Representation for Commodity Credit Corporation or Farm Service Agency Loans and Authorization to File a Financing Statement and Related Documents
1534	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Instruction	Unchanged

ICR Details

OMB Control No: 0560-0215	ICR Reference No: 201106-0560-002
Status: Historical Active	Previous ICR Reference No: 200804-0560-002
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Representation for CCC and FSA Loans and Authorization to File a Financing Statement
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/15/2011
Terms of Clearance: In accordance with the terms of 5 CFR 1320, this collection is approved for a period of three years. At the end of that period, USDA should have developed a process for obtaining signatures electronically, allowing this information to be collected in that format.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved	10/31/2011
Responses	55,500	0	55,500
Time Burden (Hours)	32,356	0	32,356
Cost Burden (Dollars)	0	0	0

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Abstract: This form provides a loan applicant's exact legal name and authorizes the filing of a Financing Statement in accordance with Article 9 of the Uniform Commercial Code.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 14370	03/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 156	08/12/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Representation for CCC and FSA Loans and Authorization to File a Financing Statement	CCC-10	Representation for Commodity Credit Corporation or Farm Service Agency Loans and Authorization to File a Financing Statement and Related Documents
Representation for CCC and FSA Loans and Authorization to File a Financing Statement	CCC-10	Representation for CCC and FSA Loans and Authorization to File a Financing Statement

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	55,500	55,500	0	0	0	0
Annual Time Burden (Hours)	32,356	32,356	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $101,499

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/15/2011

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