Information Collection

Debt Settlement Policies and Procedures.

IC 1374 under ICR 201410-0560-002 · OMB 0560-0146.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CCC-279 Debt Settlement Policies and Procedures.	Form
Instruction for CCC-279.doc forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC-279 Promissory Note CCC0279_131114V01.docx forms.sc.egov.usda.gov/eforms/mainservlet	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 792.6 7 CFR 1403.6

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CCC-279	Promissory Note	CCC0279_131114V01.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Instruction			Instruction for CCC-279.doc	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 17

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.