Highly Erodible Land Conservation and Wetland Conservation (7 CFR Part 12)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-1069 Good Faith Determination Wetland Activity	Form	Modified	Repair queued
Form AD-1068 Good Faith Determinations Highly Erodible Land Activity	Form	Modified	Available
Form AD-1026D Relief for Undue Economic Hardship Request Highly Erodible Land Conservation	Form	Modified	Available
Form AD-1026C Landlord or Landowner Exemption Request	Form	Modified	Available
Form AD-1026B Highjly Erobile Land Conservation Exemption Request	Form	Modified	Available
Form AD-1026 Highly Erodible Land Conservation and Wetland	Form	Modified	Available
Form Good Faith Determi AD-1069	Form	Modified	Available
Form AD-1068 Good Faith Determination Highly Erobible Land Activity	Form	Modified	Available
Form AD-1026D Relief for Undue Economic Hardship Request Highly Erodible Land Conservation	Form	Modified	Available
Form AD-1026C Landlord or Landoweer Exemption Request	Form	Modified	Available
Form AD-1026B Highly Erodible Land Conservation Exemption Request	Form	Modified	Available
Form AD-1026 Highly Erodible Land Conservation and Wetland Consv.	Form	Modified	Available
Form AD-1069 Good Faith Determination - Wetland Activity	Form	Modified	Available
Form AD-1068 Good Faith Determination-Highly Erobilible Land Activity	Form	Modified	Available
Form FSA-492 Data Needed for Third-party Determinations	Form	Modified	Available
Form AD-1026D Relief for Undue Economic Hardship Request Hilghly Erodible Land Conservation	Form	Modified	Available
Form AD-1026C Landlord or Landowner Exemption Request	Form	Modified	Available
Form AD-1026B Highly Erobile Land Conservation Exemption Request	Form	Modified	Available
Form AD-1026 Higly Erodible Land Conservation and Wetland Consv.	Form	Modified	Available
Form AD-1068 Good Faith Determination-Highly Erobilble Land Activity	Form	Modified	Available
Form FSA-492 Data Needed for Third-party Determinations	Form	Modified	Repair queued
Form AD-1026D Relief for Undue Economic Hardship Request Highly Erodible Land Conservation	Form	Modified	Available
Form AD-1026C Landlord or Landowner Exemption Request	Form	Modified	Available
Form AD-1026B Highly Erobile Land Conservation Exemption Request	Form	Modified	Available
Form AD-1026 Highly Erodible Land Conservation and Wetland Conservation	Form	Modified	Available
2013 Supporting Statement.doc	Supporting Statement A	Uploaded 2013-04-30	Available
FSA85-1_Reporting_and_Recordkeeping_Requirements[1].doc	Supplementary Document	Uploaded 2013-04-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45562	Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)	Form	Modified	Good Faith Determination Wetland Activity
45562	Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)	Form	Modified	Good Faith Determinations Highly Erodible Land Activity
45562	Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)	Form	Modified	Relief for Undue Economic Hardship Request Highly Erodible Land Conservation
45562	Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)	Form	Modified	Landlord or Landowner Exemption Request
45562	Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)	Form	Modified	Highjly Erobile Land Conservation Exemption Request
45562	Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)	Instruction	Modified
45562	Highly Erodible Land and Wetland Conservation Certification (State, Local or Tribal Government)	Form	Modified	Highly Erodible Land Conservation and Wetland
45424	Highly Erodible Land Conservation and Wetland Conservation (Federal Government)	Form	Modified	AD-1069
45424	Highly Erodible Land Conservation and Wetland Conservation (Federal Government)	Form	Modified	Good Faith Determination Highly Erobible Land Activity
45424	Highly Erodible Land Conservation and Wetland Conservation (Federal Government)	Form	Modified	Relief for Undue Economic Hardship Request Highly Erodible Land Conservation
45424	Highly Erodible Land Conservation and Wetland Conservation (Federal Government)	Form	Modified	Landlord or Landoweer Exemption Request
45424	Highly Erodible Land Conservation and Wetland Conservation (Federal Government)	Form	Modified	Highly Erodible Land Conservation Exemption Request
45424	Highly Erodible Land Conservation and Wetland Conservation (Federal Government)	Instruction	Modified
45424	Highly Erodible Land Conservation and Wetland Conservation (Federal Government)	Form	Modified	Highly Erodible Land Conservation and Wetland Consv.
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Form	Modified	Good Faith Determination - Wetland Activity
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Form	Modified	Good Faith Determination-Highly Erobilible Land Activity
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Form	Modified	Data Needed for Third-party Determinations
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Form	Modified	Relief for Undue Economic Hardship Request Hilghly Erodible Land Conservation
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Form	Modified	Landlord or Landowner Exemption Request
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Form	Modified	Highly Erobile Land Conservation Exemption Request
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Instruction	Modified
45423	Highly Erodible Land Conservation and Wetland Conservation (Private Sector)	Form	Modified	Higly Erodible Land Conservation and Wetland Consv.
36857	Highly Erodible Land Conservation and Wetland Conservation (Individuals or Households)	Form	Modified	Good Faith Determination-Highly Erobilble Land Activity
36857	Highly Erodible Land Conservation and Wetland Conservation (Individuals or Households)	Form	Modified	Data Needed for Third-party Determinations
36857	Highly Erodible Land Conservation and Wetland Conservation (Individuals or Households)	Form	Modified	Relief for Undue Economic Hardship Request Highly Erodible Land Conservation
36857	Highly Erodible Land Conservation and Wetland Conservation (Individuals or Households)	Form	Modified	Landlord or Landowner Exemption Request
36857	Highly Erodible Land Conservation and Wetland Conservation (Individuals or Households)	Form	Modified	Highly Erobile Land Conservation Exemption Request
36857	Highly Erodible Land Conservation and Wetland Conservation (Individuals or Households)	Instruction	Modified
36857	Highly Erodible Land Conservation and Wetland Conservation (Individuals or Households)	Form	Modified	Highly Erodible Land Conservation and Wetland Conservation

ICR Details

OMB Control No: 0560-0185	ICR Reference No: 201210-0560-001
Status: Historical Active	Previous ICR Reference No: 201003-0560-001
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Highly Erodible Land Conservation and Wetland Conservation (7 CFR Part 12)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/07/2013
Terms of Clearance:

table that charts list comparision

	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

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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.

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Authorizing Statute(s): PL: Pub.L. 99 - 195 201 Name of Law: Food Security At of 1985
  

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:
	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

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
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
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 (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 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

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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	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.

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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

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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: 05/07/2013

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