Information Collection Request

Multiple Peril Crop Insurance

ICR 201209-0563-005 · OMB 0563-0053 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0563-0053 rev-SuptStmt 8-21-12.docx Supporting Statement A Uploaded 2012-09-20 Available
0563-0053 renewal - Q-15 breakdown rev 8-10-12.xlsm Supplementary Document Uploaded 2012-09-19 Available
P58 Notice of Loss.pdf Supplementary Document Uploaded 2012-03-21 Available
P57 Quality Control Reporting.pdf Supplementary Document Uploaded 2012-03-21 Available
P56 Adjuster Data Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P55 Agent Data Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P54 Employee Data Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P51 Conflict of Interest.pdf Supplementary Document Uploaded 2012-03-21 Available
P49 Policy Delete.pdf Supplementary Document Uploaded 2012-03-21 Available
P48 Record Type Delete.pdf Supplementary Document Uploaded 2012-03-21 Available
P27A Land Other Person Sharing.pdf Supplementary Document Uploaded 2012-03-21 Available
P22 Inventory Loss Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P21 Loss Line Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P20 Loss Total Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P15 Yield History Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P14 Insurance in Force.pdf Supplementary Document Uploaded 2012-03-21 Available
P13 Inventory Value.pdf Supplementary Document Uploaded 2012-03-21 Available
P12 Payment Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P11 Acreage Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P10 Policy Record.pdf Supplementary Document Uploaded 2012-03-21 Available
P09 Fund Designation Record.pdf Supplementary Document Uploaded 2012-03-21 Available
CIMS Request Record.pdf Supplementary Document Uploaded 2012-03-21 Available
Type 81 - Policyholder Tracking Experience Inquiry.pdf Supplementary Document Uploaded 2012-03-21 Available
Data Acceptance Narrative.pdf Supplementary Document Uploaded 2012-03-21 Available
0563-0053 Spreadsheet 8-10-12-rev.xlsm Supplementary Document Uploaded 2012-09-19 Available
Documents Standards Handbook.pdf Supplementary Document Uploaded 2008-06-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
36879 Private Sector - Farms Modified
185265 State, Local, and Tribal Governments Removed
185264 Companies, Agents & Loss Adjusters Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved 01/31/2013
10,821,716 0 4,335,105
8,141,903 0 1,788,974
281,500,001 0 113,820,000





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Companies, Agents & Loss Adjusters
Private Sector - Farms
State, Local, and Tribal Governments

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 10,821,716 4,335,105 0 -1,050 6,487,661 0
Annual Time Burden (Hours) 8,141,903 1,788,974 0 -333 6,353,262 0
Annual Cost Burden (Dollars) 281,500,001 113,820,000 0 0 167,680,001 0


Reginfo record details
  No