Information Collection

Data on Nonresident Applicants

IC 214188 under ICR 201412-0560-001 · OMB 0560-0285.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FSA-500 Data on Nonresident Applicants	Form and Instruction
FSA-500 Data on Nonresident Applicants FSA0500_proposal 09 2015.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR Chapter 3 (To search for a specific CFR, visit the Code of Federal Regulations.)

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 and Instruction	FSA-500	Data on Nonresident Applicants	FSA0500_proposal 09 2015.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	60	60
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.