FSA-85-1- Reporting and Recordkeeping Requirements

FSA-85-1 Reporting and Recordkeeping Requirements 2015.doc

Assignments of Payments and Joint Payment Authorization

FSA-85-1- Reporting and Recordkeeping Requirements

OMB: 0560-0183

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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.

0560-0183

2. Title of Clearance

Assignments of Payments and Joint Payment authorizations




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

Assignment of Payment

X

 

CCC-36 or CCC-36(SP)

7 CFR 1404.4

51403

1

51403

10 min

     

8,567

Notice of Assignment

X

 

CCC-251

7 CFR 1404.4

200

1

200

10 min

     

33

Instrument of Assignment

X

 

CCC-252

7 CFR 1404.4

200

1

200

5 min

     

17

Joint Payment Authorization

X

 

CCC-37 or CCC-37(SP)

None

14307

1

14307

10 min

     

2,385

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

    

     

     

     

     

     

 

 

     

     

     

 

     

     

     

     

     

 

 

     

     

     

    

     

     

     

    

TOTALS

66,110

1

66,110


     

11002


File Typeapplication/msword
File TitleThis form is available electronically
AuthorUSDA-MDIOL00000DG8C
Last Modified ByBall, MaryAnn - FSA, Washington, DC
File Modified2015-04-14
File Created2015-04-14

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