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. |
0560-0146 |
2. Title of Clearance |
Debt Settlement Policies and Procedures (April 2012) |
||||||||||
|
|
|||||||||||||
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 |
||||
Installment Agreement |
|
|
|
7CFR792; 7CFR1403 |
100 |
1 |
100 |
30 min |
|
50 |
||||
Financial Statement |
|
|
|
7 CFR792; 7CFR1403 |
100 |
1 |
100 |
15 min |
|
25 |
||||
Promissory Note |
|
|
CCC-279 |
7CFR792; 7CFR1403 |
100 |
1 |
100 |
15 min |
|
25 |
||||
|
|
|
|
|
|
|
|
|
|
100 |
||||
Travel Time |
|
|
|
|
100 |
|
100 |
60 min |
|
100 |
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
||||
TOTALS |
100 |
1 |
300 |
|
|
200 hrs |
||||||||
| File Type | application/msword |
| File Title | This form is available electronically |
| Author | USDA-MDIOL00000DG8C |
| Last Modified By | Ball, MaryAnn - FSA, Washington, DC |
| File Modified | 2015-06-11 |
| File Created | 2015-06-11 |