OMB Control No:  0560-0185ICR Reference No: 
201210-0560-001 
Status:  Historical ActivePrevious ICR Reference No:  201003-0560-001  
Agency/Subagency:  USDA/FSAAgency Tracking No:  
Title:  Highly Erodible Land
Conservation and Wetland Conservation (7 CFR Part 12) 
Type of Information Collection: 
Revision of a currently approved collectionCommon Form ICR:   No 
Type of Review Request:  Regular 
OIRA Conclusion Action:  Approved
without changeConclusion Date:  10/23/2013 
Retrieve
Notice of Action (NOA) Date Received in OIRA: 
05/07/2013 
Terms of Clearance:  
  
Inventory as of this Action 
Requested 
Previously Approved 
 
Expiration Date 10/31/2016 
36 Months From Approved 
10/31/2013 
 
Responses 259,288 
0 
262,788 
 
Time Burden (Hours) 261,471 
0 
262,346 
 
Cost Burden (Dollars) 0 
0 
0 
 
 
Abstract:  This information collection is
required to determine eligibility of agricultural producers to
receive payments from certain programs, including loans,
administered by multiple agencies of the USDA. 
 
Authorizing Statute(s):   PL:
Pub.L. 99 - 195 201  Name of Law: Food Security At of 1985 
Citations for New Statutory
Requirements:  None 
 
Associated Rulemaking
Information  
RIN: Stage of Rulemaking: Federal Register Citation: Date:  
Not associated with rulemaking 
 
 
Federal Register Notices &
Comments  
60-day Notice: Federal Register Citation: Citation Date:  
  
77 FR
74167 12/13/2012 
 
30-day Notice: Federal Register Citation: Citation Date:  
78 FR
86 05/03/2013 
 
Did the Agency receive public comments on
this ICR?  
Yes  
 
Number of Information Collection (IC) in this
ICR:  4  
IC Title 
Form No. 
Form Name 
 
Highly Erodible Land
and Wetland Conservation Certification (State, Local or Tribal
Government) AD-1069, AD-1026, AD-1026C, AD-1068, AD-1026B, AD-1026D 
Highly Erodible
Land Conservation and Wetland  Highjly Erobile Land
Conservation Exemption Request  Landlord or Landowner Exemption
Request  Relief for Undue
Economic Hardship Request Highly Erodible Land Conservation 
Good Faith Determinations
Highly Erodible Land Activity  Good Faith Determination
Wetland Activity   
Highly Erodible Land
Conservation and Wetland Conservation (Individuals or
Households) AD-1026B, AD-1026, AD-1026C, AD-1026D, FSA-492, AD-1068 
Highly Erodible
Land Conservation and Wetland Conservation  Highly Erobile Land
Conservation Exemption Request  Landlord or Landowner Exemption
Request  ,   Relief for Undue Economic
Hardship Request Highly Erodible Land Conservation  Data Needed for Third-party
Determinations  Good Faith
Determination-Highly Erobilble Land Activity   
Highly Erodible Land
Conservation and Wetland Conservation (Private Sector) AD-1026, AD-1026B, FSA-492, AD-1068, AD-1026C, AD-1069,
AD-1026D 
Higly Erodible Land
Conservation and Wetland Consv.  Highly Erobile Land
Conservation Exemption Request  Landlord or Landowner Exemption
Request  Relief for Undue
Economic Hardship Request Hilghly Erodible Land Conservation 
Data Needed for Third-party
Determinations  Good Faith
Determination-Highly Erobilible Land Activity  Good Faith Determination -
Wetland Activity   
Highly Erodible Land
Conservation and Wetland Conservation (Federal Government) AD-1068, AD-1026C, AD-1026, AD-1026B, Good Faith Determination
Wetland Activity, AD-1026D 
Highly Erodible
Land Conservation and Wetland Consv.  Highly Erodible Land
Conservation Exemption Request  Landlord or Landoweer Exemption
Request  Relief for Undue
Economic Hardship Request Highly Erodible Land Conservation 
Good Faith Determination Highly
Erobible Land Activity  AD-1069   
 
 
 
ICR Summary 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 
259,288 
262,788 
0 
-3,500 
0 
0 
 
Annual Time Burden (Hours) 
261,471 
262,346 
0 
-875 
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:  Yes 
Burden Reduction Due to:  Miscellaneous
Actions 
Short Statement:  There is a program change
decrease of 875 burden hours and 3,500 responses due to the removal
of CCC-21 that was obsoleted. Due to the obsolete form, the number
of responses decreased from 262,788 to 259,288,and the burdens
hours decreased from 262,346 to 261,471. 
Annual Cost to Federal Government: 
$1,620,550 
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 
Agency Contact:  Mary Ann Ball 202-720-4283
[email protected]