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

Forms and Documents

Document Name	Status
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement Form	Modified
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement Form	Modified
2015 Supporting Statement.doc Supporting Statement A	2015-06-09
FSA-85-1 Reporting and Recordkeeping Requirements.doc Supplementary Document	2014-09-12

IC Document Collections

IC ID	Document Title	Status
184466	Representation for CCC and FSA Loans and Authorization to File a Financing Statement Form	Modified
1534	Representation for CCC and FSA Loans and Authorization to File a Financing Statement Form	Modified

ICR Details

OMB Control No: 0560-0215	ICR Reference No: 201402-0560-006
Status: Historical Active	Previous ICR Reference No: 201106-0560-002
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: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/09/2015
	Date Received in OIRA: 10/07/2014
Terms of Clearance: When this ICR is renewed, USDA should have developed a process for obtaining signatures electronically, allowing this information to be collected in that format. Additionally, USDA should also explain the progress made in compliance with OMB guidance on eliminating unnecessary use of SSNs (see page 7 of OMB M-07-16).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	36 Months From Approved	06/30/2015
Responses	2,148	0	55,500
Time Burden (Hours)	2,326	0	32,356
Cost Burden (Dollars)	0	0	0

---

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.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: PL: Pub.L. 113 - 79 1601 Name of Law: Agricultural Act of 2014

---

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:
	79 FR 32907	06/09/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 193	10/06/2014
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
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
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

---

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	2,148	55,500	-53,352	0	0	0
Annual Time Burden (Hours)	2,326	32,356	-30,030	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: There is a substantial change in the total burden for the CCC-10 this year because the MAL and FSFL programs are not included as they had been in the past. Both of these programs are exempt from the provisions of the Paperwork Reduction Act as specified in section 1601(c)(2)(B) of the Agricultural Act of 2014. Also, the number of respondents for the FSA farm loan programs that use the CCC-10 decreased slightly. Producers are required to file CCC-10 only if doing so for the first time or if any of the data on a previously submitted form has changed. Therefore, unless the producer is new to CCC or FSA loan programs or if any of the data applicable to the form has changed based upon a quick review of the data by the applicant, the CCC-10 is carried forward from one year to the next.

---

Annual Cost to Federal Government: $4,267

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

---

Common Form ICR:  No

---

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: 10/07/2014

---