Fsa-578 Report Of Acreage

    

    

     

     

     

    

    

     

     

     

     

     

    

     

     

     

    

     

     

     

    

     

     

     

    

     

     

     

     

    

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

  

     

     

     

     

     

     

     

     

     

     

  

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    

     

     

This form is available electronically.

Form Approved - OMB No. 0560-0004

FSA-578 Manual

(10-15-03)

U.S. Department of Agriculture Farm Service Agency

PAGE

REPORT OF ACREAGE

OF

See Page 2 for Privacy Act and Public Burden Statements.

1 .

2.

3.

4.

7.

8.

9.

10.

FARM NO.

FARMLAND

CROPLAND

PROGRAM YR.

KEY

NAMES OF OTHER PRODUCERS

ID NUMBER

OTHER FARMS

KEY

5. OPERATOR NAME AND ADDRESS

6. OTHER FARMS

1

11. PHOTO NO. - LEGAL DESCRIPTION

16.

17. CROP OR LAND USE SUMMARY (Maple trees, after number enter "T"; Honey, after number enter "H")

12.

13.

14.

15.

TRACT

NO.

CROP OR LAND USE

PRAC-

18.

19.

FIELD

NO.

TICE 1/

CROP

STATUS

KEY

SHARE

2/

20. TOTAL OPERATOR REPORT

21. TOTAL DETERMINED ACREAGE

22. OPERATOR'S CERTIFICATION - I certify to the best of my knowledge and belief that the acreage of crops and land uses listed herein are true and correct. The signing of this form gives FSA

1/ l = Irrigated

N = Nonirrigated

representatives authorization to enter and inspect crops and land uses on the above identified land. I understand that an inaccurate acreage report could result in a payment reduction or loss of program benefits and/or reduction in future allotments and quotas when applicable.

O = Other (Honey or Maple Sap)

2/ I = Initial

E = Experimental

P = Prevented

IF = Initial Failed

A. OPERATOR'S SIGNATURE

B. DATE

(MM-DD-YYYY)

A. OPERATOR'S SIGNATURE

A. OPERATOR'S SIGNATURE

F = Failed

B. DATE

(MM-DD-YYYY)

B. DATE

(MM-DD-YYYY)

IP = Initial Prevented

S = Subsequent Crop

SF = Subsequent Failed

D = Double Crop

DF = Double-cropped Failed

R = Repeat

DP = Double-cropped

Prevented

     

FSA-578 Manual (Page 2 of 2) (10-15-03)

23. REMARKS/SKETCHES

The following statement is made in accordance with the Farm Security and Rural Investment Act of 2002, (Pub. L. 107-171). The information will be used to determine to whom program benefits will be paid. Furnishing the requested information is voluntary; however, failure to furnish the correct and complete information will result in a determination of ineligibility for program benefits. This information maybe provided to other agencies IRS, Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 USC 286, 287, 371, 641, 651, 1001; 15 USC 714m; and 31 USC 3729, maybe applicable to the information provided.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0004. The time required to complete this information collection is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.