FSA-85-1 Reporting and Recordkeeping Requirements

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 1

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Request for loan making assist. /LM individuals & married app.

 

 

FSA-2001 (Farmer)

764.51(b) 767.151

25,227* 127(e)*

.751

18,813

30

     

9,406

Request for loan making assist. /LM - entity

 

 

FSA-2001 (Farmer)

764.51(b)767.151

7,193*

.333

2,395

60

     

2,395

Request for loan making assist. subordin individuals & married

 

 

FSA-2001 (Farmer)

765.205 (a)(1)

10,649*

.751

7,979

30

     

3,990

Request for loan making assist. /subordination - entity

 

 

FSA-2001 (Farmer)

765.205 (a)(1)

2,483*

.333

838

60

     

831

Request for loan making assist. /transfer and assumption (ind.)

FSA-2001 (Farmer)

765.403 (a)(1)

917*

.751

692

30

347

Request for loan making assist. /transfer and assumption (ent)

FSA-2001 (Farmer)

765.403 (a)(1)

225*

.333

84

60

78

Request for loan making assist. /PLS - individuals & married

 

 

FSA-2001 (Farmer)

766.102 (a)(2)

4,351*

.751

3,288

30

     

1,645

Request for loan making assist. /PLS - entity

 

 

FSA-2001 (Farmer)

766.102 (a)(2)

1,013*

.333

338

60

     

338

Request for loan making assist. /SA individuals & married app.

 

 

FSA-2001 (Farmer)

766.204 (a)(2)

82*

.751

62

30

     

32

Request for loan making assist. SA - entity

 

 

FSA-2001 (Farmer)

766.204 (a)(2)

18*

.333

6

60

     

6

Three-Year Financial History - new applicants

 

 

FSA-2002 (Farmer)

764.51 (b)(4)

9,385

1

9,385

60

     

8,224

Three-Year Financial History - existing aplicants

 

 

FSA-2002 (Farmer)

764.51 (b)(4)

4,374

1

4,374

30

     

2,187

Three-Year Financial History - FSFL

 

 

FSA-2002 (Farmer)

1436.4

250

1

250

30

     

125

Three-Year Financial History - PLS

 

 

FSA-2002 (Farmer)

766.102 (a)(3)

1,218

1

1,218

30

     

609

Three-Year Production History - new applicants

 

 

FSA-2003 (Farmer)

764.51 (b)(5)

9,385

1

9,385

60

     

8,224

Three-Year Production History - existing applicants

FSA-2003 (Farmer)

761.104 764.51

4,374

1

4,374

30

2,187

Three-Year Production History - FSFL

FSA-2003 (Farmer)

1436.4

250

1

250

30

125

SUBTOTALS 

     

     

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 2

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Three-Year Production History - PLS

 

 

FSA-2003 (Farmer)

766.102 (a)(2)

1,219

1

1,219

30

     

609

Authorization to release information - LM application

 

 

FSA-2004 (Farmer)

764.51(b)

19,458

1

19,458

10

     

3,243

Authorization to release information - subordination

 

 

FSA-2004 (Farmer)

765.205 (a)(6)

8,653

1

8653

10

     

1,442

Authorization to release info -transfer & assumpion 

 

 

FSA-2004 (Farmer)

765.404 (b)(1)

749

1

749

10

     

126

Authorization to release information - debt settlement

 

 

FSA-2004 (Farmer)

1956.66

2,630

1

2,630

10

     

438

Authorization to release information - FSFL

 

 

FSA-2004 (Farmer)

1436.4

1,500

1

1,500

10

     

250

Authorization to release information - PLS

 

 

FSA-2004 (Farmer)

766.102 (a)(6)

3,546

1

3,546

10

     

591

Authorization to release info - homestead protection

 

 

FSA-2004 (Farmer)

766.152 (b)(5)

22

1

22

10

     

4

Authorization to release information - SA amortization

 

 

FSA-2004 (Farmer)

766.204 (a)(2)

68

1

68

10

     

11

Creditor list - loan making

 

 

FSA-2005 (Farmer)

764.51(b)(12)

19,458

1

19,458

20

     

8,134

Creditor list - subordination 

 

 

FSA-2005 (Farmer)

765.205 (a)(6)

8652

1

8652

20

     

2,884

Creditor list - transfer and assumption - ineligible

 

 

FSA-2005 (Farmer)

765.404 (b)(1)

749

1

749

20

     

250

Creditor list - PLS

 

 

FSA-2005 (Farmer)

766.102 (a)

3,546

1

3546

20

     

1,182

Creditor list - homestead protection

 

 

FSA-2005 (Farmer)

766.151 (a)(3)

22

1

22

20

     

7

Creditor list - SA amortization

 

 

FSA-2005 (Farmer)

766.204 (a)(2)

68

1

68

20

     

23

SUBTOTALS 

     

     

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 3

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Property Owned and Leased - loan making

 

 

FSA-2006 (Farmer)

764.51(b) 764.402

20,208

1

20,208

30

     

10,104

Property Owned and Leased - subordination

 

 

FSA-2006 (Farmer)

765.205 (a)(2)

8652

1

8652

30

     

4,326

Property Owned and Leased - PLS

 

 

FSA-2006 (Farmer)

766.102 (a)(7)

3546

1

3546

30

     

1,773

Property Owned and Leased - SA amortization

 

 

FSA-2006 (Farmer)

766.204 (a)(2)

68

1

68

30

     

34

Statement required by the Privacy Act

FSA-2007 (Farmer)

764.402

920*

1

920

15

230

Verification of income - loan making

 

 

FSA-2014 (Business)

764.51 (b)(8)

19,546*

1

19,546

15

     

4,887

Verification of income - subordination

 

 

FSA-2014 (Business)

765.205 (a)(4)

6,709*

1

6709

15

     

1,678

Verification. of income - transfr & assmptn - ineligible

 

 

FSA-2014 (Business)

765.404 (b)(1)

146*

1

146

15

     

37

Verification of income - PLS

 

 

FSA-2014 (Business)

766.102 (a)(6)

2751*

1

2751

15

     

689

Verification of income - homestead protection

 

 

FSA-2014 (Business)

766.151 (b)(5)

19*

1

19

15

     

5

Verification of income - SA amortization

 

 

FSA-2014 (Business)

766.204 (a)(2)

51*

1

51

15

     

13

Verification of debts and assets - debt settlement

 

 

FSA-2015 (Business)

1956.66

4,208*

3

12,624

20

     

4,208

Verification of debts and assets - FSFL

 

 

FSA-2015 (Business)

1436.5(a) (1)

2800*

3

8400

20

     

2800

Verification of debts and assets - loan making - OL & EM

 

 

FSA-2015 (Business)

764.51 (b)(12)

34,326*

3

102,978

20

     

34,326

Verification of debts and assets - loan making - FO

 

 

FSA-2015 (Business)

764.51 (b)(12)

4,310*

3

12,930

20

     

4,310

SUBTOTALS 

*

     

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 4

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Verification of debts and assets - youth loans

 

 

FSA-2015 (Business)

764.51 (d)(2)

429*

3

1,287

20

     

429

Verification of debts and assets - subordination

 

 

FSA-2015 (Business)

765.205 (a)(6)

13,834*

3

41,502

20

     

13,834

Verification of debts and assets - transfer & assumption

 

 

FSA-2015 (Business)

765.404 (b)(1)

298*

3

894

20

     

298

Verification of debts and assets - PLS

 

 

FSA-2015 (Business)

766.102 (a)(8)

5,314*

3

15,942

20

     

5,314

Verification of debts and assets - SA amortization

 

 

FSA-2015 (Business)

766.204 (a)(2)

107*

3

321

20

     

107

Verification of debts and assets - voluntary conveyance

 

 

FSA-2015 (Business)

766.353 (a)

30*

3

90

20

     

30

Promissory note - individual 

 

 

FSA-2026 (Farmer)

764.402 (a)(1)

22,623

1

22,623

20

     

7,541

Promissory note - entity members

 

 

FSA-2026 (Farmer)

764.402 (a)(1)

6,291

1

6,291

20

     

2,097

Promissory note - PLS - individual

 

 

FSA-2026 (Farmer)

766.106 766.204

2,594

1

2,594

20

     

866

Promissory note - PLS - entity members

 

 

FSA-2026 (Farmer)

766.106 766.204

805

1

805

20

     

269

Promissory note - cosigner

 

 

FSA-2026 (Farmer)

764.402 (a)(4)

204

1

204

20

     

68

Supplemental payment agreement

 

 

FSA-2027 (Farmer)

764.254 766.109

656

1

656

15

     

165

Security agreement - youth (lien on products financed)

 

 

FSA-2028 (Farmer)

764.305

3,906

1

3,906

20

     

1,302

Security agreement - pledge of third party

 

 

FSA-2028 (Farmer)

764.103 (b)(1)

396

1

396

20

     

132

Security agreement - 150 percent requirement

 

 

FSA-2028 (Farmer)

764.103 (c)

1209

1

1209

20

     

403

SUBTOTALS 

*

     

     

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 5

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Security agreement - lien on non-essential assets

 

 

FSA-2028 (Farmer)

764.103 (c)

135

1

135

20

     

45

Security agreement - OL lien on property financed

 

 

FSA-2028 (Farmer)

764.255 (b)

14,713

1

14,713

20

     

4904

Security agreement - add livestock when crops to be fed

 

 

FSA-2028 (Farmer)

765.303 (a)(4)

2,307

1

2307

20

     

769

Security agreement - lien on new property in exchange 

 

 

FSA-2028 (Farmer)

765.303 (c)(2)

4,425

1

4,425

20

     

1,475

Security agreement - Delinquent DSA lien on all assets

 

 

FSA-2028 (Farmer)

766.56

133

1

133

20

     

44

Security agreement - PLS lien on all assets

 

 

FSA-2028 (Farmer)

766.112 (a)

343

1

343

20

     

114

Security agreement - SA amortization lien on all assets

 

 

FSA-2028 (Farmer)

766.204 (a)(5)

67

1

67

20

     

22

RE mortgage/deed of trust -pledge from 3rd party

 

 

FSA-2029M/2029D (Farmer)

764.103 (b)(1)

207

1

207

30

     

104

RE mortgage/deed of trust -150% requirement 

 

 

FSA-2029M/2029D (Farmer)

764.103 (c)

7,503

1

7,503

30

     

3,752

RE mortgage/deed of trust - lien on nonessential assets

 

 

FSA-2029M/2029D (Farmer)

764.103 (e)

525

1

525

30

     

263

RE mortgage/deed of trust - RE financed w/ FO funds

 

 

FSA-2029M/2029D (Farmer)

764.155 (b)

2,628

1

2,628

30

     

1,314

RE mortgage/deed of trust - RE financed w/ BFDP funds

 

 

FSA-2029M/2029D (Farmer)

764.205 (b)

134

1

134

30

     

67

RE mortgage/deed of trust EM physical loss

 

 

FSA-2029M/2029D (Farmer)

764.353 (c)

154

1

154

30

     

79

RE mortgage/deed of trust - subordination w/purchase

 

 

FSA-2029M/2029D (Farmer)

765.205 (b)

216

1

216

30

     

108

RE mortgage/deed of trust - proceeds used to develop

 

 

FSA-2029M/2029D (Farmer)

765.352 (a)

82

1

82

30

     

41

SUBTOTALS 

     

     

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 6

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

RE mortgage/deed of trust - delinquent DSA lien on assets

 

 

FSA-2029M/2029D (Farmer)

766.56

54

1

54

30

     

27

RE mortgage/deed of trust - PLS lien on all assets

 

 

FSA-2029M/2029D (Farmer)

766.112 (a)

730

1

730

30

     

365

RE mortgage/deed of trust - SA amortization lien on all assets

 

 

FSA-2029M/2029D (Farmer)

766.204 (a)

67

1

67

30

     

34

Assignment of proceeds & consent to payment - applicant

 

 

FSA-2041, FSA-2042 (Farmer)

764.402 765.303

7,024

1

7,024

20

     

2,336

Assignment of proceeds & consent to payment - purchaser

 

 

FSA-2041, FSA-2042 (Business)

764.402 765.303

2,341*

3

7,023

20

     

2,336

Assignment of dairy proceeds- applicant

 

 

FSA-2043 (Farmer)

764.402

3,315

1

3,315

20

     

1,105

Assignment of dairy proceeds - purchaser

 

 

FSA-2043 (Business)

764.402

1,105*

3

3,315

20

     

1,105

Assignment of income (includes mineral leases)

 

 

FSA-2044 (Farmer)

764.402 765.252

1,905

1

1,905

20

     

635

Request for youth loan - applicant

 

 

FSA-2301 (Farmer)

764.51 

4,312*

1

4,312

30

     

2,156

Request for youth loan - advisor

 

 

FSA-2301 (Farmer)

764.302 (e)

2,652*

1.62

4,296

10

     

716

Request for youth loan - parent/guardian

 

 

FSA-2301 (Farmer)

764.302 (f)

4,044*

1

4,044

10

     

674

Description of farm training and experience

 

 

FSA-2302 (Farmer)

764.51(b)(3)

10,615

1

10,615

20

     

3,538

Certification of disaster losses

 

 

FSA-2309 (Farmer)

764.51 (b)(14)

1361

1

1361

90

     

2,042

Lender's verification of loan application - individual

 

 

FSA-2310 (Farmer)

764.352 (e)

1,232

1

1232

5

     

103

Lender's verification of loan application - entity members

 

 

FSA-2310 (Farmer)

764.352 (e)

379

1

379

5

     

32

SUBTOTALS 

*

     

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 7

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Lender's verification of loan application - lender

 

 

FSA-2310 Business

764.352 (e)

806*

2

1,612

30

     

787

Notification of loan approval and conditions

 

 

FSA-2313 (Farmer)

764.401 (a)

24,830

1

24,830

20

     

8,271

Request for Streamlined loan making assist./LM - Individual

 

 

FSA-2314 (Farmer)

764.51(c)

5,000*

.756

3,781

30

     

1890

Request for Streamlined loan making assist./LM - Entity

 

 

FSA-2314 (Farmer)

764.51(c)

< 10*

.333

< 10

60

     

0

Consent and subordination - applicant

 

 

FSA-2317 (Farmer)

764.255 (b)

186

1

186

15

     

47

Consent and subordination - lender

 

 

FSA-2317 (Business)

764.255 (b)

186*

1

186

15

     

47

Agreement for disposition of jointly-owned property

 

 

FSA-2318 (Farmer)

764.402 (c)

118

1

118

10

     

20

Agreement with prior lienholder

 

 

FSA-2319 (Business)

764.104 (a)(2)

1,134*

1

1,134

10

     

190

Agreement with prior lienholder - FSFL

 

 

FSA-2319 (Business)

1436.8

800*

1

800

10

     

133

Property insurance mortgage clause

FSA-2320/Non-form (Business)

764.108

12*

1

12

10

2

Request for loan making assist. /LM individuals and married app

FSA-2330 (Farmer)

764.51(c)

5,017* 17 (e)*

.751

3,781

90

5.662

Request for loan making assist/ LM - entity LM

FSA-2330 (Farmer)

764.51(c) ©

<10

.333

<10

120

0

Selection of attorney/title agent

 

 

FSA-2340 (Farmer)

764.402 765.205

4,292

1

4,292

10

     

715

Certification of attorney/title company

 

 

FSA-2341, FSA-2342 (Business)

764.402 765.205

2,411*

1

2,411

20

     

803

Preliminary title opinion

 

 

FSA-2344 (Business)

764.402 765.205

2,401

1.49

4,257

90

     

6,386

Loan closing instructions

 

 

FSA-2350 (Business)

764.402

2,411

1.49

4,272

30

     

2,137

Certification of improvement of property

 

 

FSA-2351 (Farmer)

764.402 765.205

412*

1

412

10

     

69

Final title opinion

 

 

FSA-2352 (Business)

764.402 765.205

2,401

1.49

4,257

30

     

2,129

SUBTOTALS 

*

     

     

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 8

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Report of lien search

 

 

FSA-2360 (Business)

764.402

545*

1

545

30

     

273

Report of lien search - FSFL

 

 

FSA-2360 (Business)

1436.8

1,500*

1

1,500

30

     

750

Subordination to the Government

 

 

FSA-2361 (Business)

764.255

535*

1

535

30

     

268

Request for waiver of borrower training requirements

 

 

FSA-2370 (Farmer)

764.453

8,457

1

8,457

30

     

4,229

Agreement to complete training

 

 

FSA-2371 (Farmer)

764.452

7,969

1

7,969

15

     

1,993

Agreement to conduct production financial training

 

 

FSA-2375 (Business)

764.458

133*

1

133

10

     

22

Borrower training course evaluation - borrower

 

 

FSA-2376 (Farmer)

764.454

3,852

1

3,852

15

     

1,070

Borrower training course evaluation - vendor

 

 

FSA-2376 (Business)

764.454

356

10.39

3,664

30

     

1,832

Documentation other credit is not available – lender

Non-form (Business)

764.51(b)(6)

5,946*

3.14

18,670

60

18,670

Copy of legal description of RE to purchase, leases, agreements

Non-form (Farmer)

764.51(b)(10)

13,121

1

13,121

15

3,280

Information needed to evaluate application

Non-form (Farmer)

764.51(b)(13)

1,232

1

1,232

15

310

Request to keep application active (funds not available)

Non-form (Farmer)

764.53(e)

28

1

28

10

5

Citizenship status documentation

Non-form (Farmer)

764.101 (c)

22

1

22

15

6

Contract for sale – agreement to use insurance proceeds

 

 

Non-form (Farmer)

764.104 (b)(2)

19

1

19

15

     

5

Purchase contract holder agreement

 

 

Non-form (Business)

764.104 (b)(5)

19

1

19

15

     

5

Request to BIA to provide title status report

 

 

Non-form (Farmer)

764.104 (c)

12

1

12

30

     

6

SUBTOTALS 

     

     

This form is available electronically.
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements						1. OMB No.		0560-0237		2. Title of Clearance		Direct Loan Making Page 9
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.		9.		10.		11.		12. Total Burden Hours
					No. of Respondents		No. of Reports Filed Per Person		Total Annual Responses		Average Time to Respond		Exempt	Non-Exempt
Evidence of hazard insurance	 	 	Non-form (Farmer)	764.108	12,269		1		12,269		15		     	3,069
Evidence of flood insurance	 	 	Non-form (Farmer)	764.108	10,896		1		10,896		15		     	2,725
Evidence of crop insurance	 	 	Non-form (Farmer)	764.108	14,910		1		14,910		15		     	3,727
Waiver of eligibility for emergency crop loss assistance			Non-form (Farmer)	764.108 (d)	545		1		545		15			136
Evidence to refinance bridge FO loan			Non-form (Farmer)	764.151 (e)	130		1		130		15			33
Obtaining branded livestock and feeder cattle agreement			Non-form (Farmer)	764.255	322		1		322		15			81
Lien on motor vehicles			Non-form (Farmer)	764.255	62		1		62		15			16
EM RE purposes - lease exceeds loan term	 	 	Non-form (Farmer)	764.352 (c)	12		1		12		15		     	3
EM RE purposes - notification of lease's expiration	 	 	Non-form (Farmer)	764.352 (c)	<10		1		<10		15		     	0
Written declination of credit – EM applicants			Non-form (Farmer)	764.352 (e)	292		2		584		15			146
Written declination of credit – EM – lender			Non-form (Business)	764.352 (e)	190*		3.08		585		30			293
Documentation of losses of livestock/livestock products	 	 	Non-form (Farmer)	764.353, 764.356	158		1		158		15		     	40
EM- repayment ability when security not available			Non-form (Farmer)	764.355 (c)	12		1		12		15			3
Certificate of title for EM	 	 	Non-form (Farmer)	764.355 (3)	62		1		62		15		     	16
Circumstances beyond borrower’s control for not completing BT	 	 	Non-form (Farmer)	764.454 (a)(2)	374		1		374		15		     	94
Vendor application for approval to provide borrower training	 	 	Non-form (Business)	764.456	34*		1		34		990		     	561
SUBTOTALS					*

This form is available electronically.
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements						1. OMB No.		0560-0237		2. Title of Clearance		Direct Loan Making Page 10
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.		9.		10.		11.		12. Total Burden Hours
					No. of Respondents		No. of Reports Filed Per Person		Total Annual Responses		Average Time to Respond		Exempt	Non-Exempt
Vendor request to change curriculum, instructor or cost	 	 	Non-form (Business)	764.458 (a)	13		1		13		30		     	7
Vendor revocation of agreement to provide borrower training	 	 	Non-form (Business)	764.458 (a)	13		1		13		15		     	3
Renewal of vendor approval to provide borrower training	 	 	Non-form (Business)	764.458 (b)	133*		1		133		390		     	865
Vendor evaluation of borrower progress	 	 	Non-form (Business)	764.459	396		6.72		2,661		30		     	1,331
RE mortgage/modification agreement			Non-form (Farmer)	765.205, 766.106	929		1		929		30			465
Conservation Plan			Non-form (Farmer)	764.51(b)(15)	1500		1		1500		15			375
Transition to Organic/Sustainable			Non-form (Farmer)	764.51(b)(16)	9		1		9		15			2
Entity information – loan application			Non-form (Farmer)	764.51(b)(2)	804		1		804		15			202
Documentation other credit is not available – applicant			Non-form (Farmer)	764.51(b)(6)	18,748		1		18,748		60			18,748
Travel time														57,956
* Denotes unduplicated respondents	 	 	     	     	     		    		     		     		     	     
(e) denotes electronic submission of collection	 	 	     	     	     		    		     		     		     	     
Description of farm training and experience -GLC			FSA-2302	763.7(b) (6)	10		1		10		20			3
Entity information – GLC application – buyer			Non-form (farmer)	763.7 (b(3) (iv)	1		1		1		15			1
RE mortgage/deed of trust - GLC			FSA-2029M/2029D (farmer) (farmer)	763.20	1		1		1		30			1
Documentation other credit is not available- lender	 	 	Non-form (business)	764.(b) (6)	20		3.14		63		60		     	63
Security agreement –GLC –loan servicing			FSA-2028 (farmer)	763.21	1		1		1		20			1
Promissory Note - GLC			FSA-2026 (farmer)	763.21	1		1		1		20			1
Verification of debts and assets - GLC			FSA-2015 (farmer)	763.7(b) (10)	10*		3		30		20			10
Verification of Income - GLC			FSA-2014 (farmer)	763.7(b) (9)	15		1		15		15			4
Creditor List - GLC			FSA-2005 (farmer)	763.7	10		1		10		20			3
Three Year Financial History – new GLC applicants			FSA-2002 (farmer)	763.(b)(7)763.18 b 6	10		1		10		60			10
Three Year Financial History – existing GLC applicants			FSA-2002 (farmer)	763.(b)(7)763.18 b 6	2		1		2		30			1
Three-Year Production History – new GLC applicants			FSA-2003 (farmer)	763.7 b 8 763.18 b 6	10		1		10		60			10
Three-Year Production History – existing GLC applicants			FSA-2003 (farmer)	763.7 b 8 763.18 b 6	2		1		2		30			2
Authorization to release information – GLC application			FSA-2004	763.7	10		1		10		10			2
SUBTOTALS							     						     
TOTALS 					187,403*				698,437					343,759