CCC-452 Actual Production History and Approved Yield Record

Noninsured Crop Disaster Assistance Program (NAP)

CCC0452 Draft 2-4-15

Noninsured Crop Disaster Assistance Program (NAP)

OMB: 0560-0175

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CCC-452 Manual U.S. DEPARTMENT OF AGRICULTURE

(proposal 2)

Commodity Credit Corporation


NAP ACTUAL PRODUCTION HISTORY AND

APPROVED YIELD RECORD


See Page 2 for Privacy Act and Paperwork Reduction Act Statements.

1. Crop Year




    

2. Unit No.




     

PART A - GENERAL INFORMATION

3A. Producer(s) Name

3B. Telephone Number

(Include Area Code)

3C. Identification Number

(Last 4 Digits)

(1)      

     

    

(2)      

     

    

(3)      

     

    

(4)      

     

    

(5)      

     

    

4. Spotcheck Required?


YES NO

5A. County FSA Office Name

     

5B. State and County Codes

     

6. Native Sod Conversion?


YES NO

PART B- UNIT AND CROP IDENTIFICATION

7. Crop Name

     

8. Crop Type

     

9. Planting Period

     

10. FSA Practice

(“I” for Irrigated or

N” for Nonirrigated)


    

11. Intended Use

     

12. Organic Status

Conventional Transitional

USDA Certified

13. Unit of

Measure


     

14. Do Yield Limitation

Rules Apply?



YES NO

15. County Expected

Yield/T-Yield

     

16. If Applicable, COC Adjusted T-Yield and Reason Code (COC Use Only)

16A. Adjusted

Yield

     

16B. Reason Code: (Check One)

16C. Date of COC

Minutes

     

Inconsistent farming/management practices

Age of stand/trees

Multiple County T-Yield Variations

Topography

Soil Type

Elevation

PART C - ACTUAL PRODUCTION HISTORY

17.

APH Crop Year

18.

Eligible Disaster?

19.

Acres Planted

20.

Actual Production

21.

Record Type 1/

COC USE ONLY

YES

NO

22. Yield

23. Yield Type 2/

    

     

     



     



    

     

     



     



    

     

     



     



    

     

     



     



    

     

     



     



    

     

     



     



    

     

     



     



    

     

     



     



    

     

     



     



    

     

     



     



PART D - APPROVED YIELD (COC USE ONLY)

24. Total Yield

(Item 22)

25. No. of APH

Crop Years

(Item 17)

26. Calculated

Yield

27. Prior Crop Year

Approved Yield

28. Cup

Percentage

29. Yield Cup

30. If Item 14 is:

A. YES, enter the higher of Item 26 of Item 29      

     divided

by

     =

     

      x

      =

     

B. NO, enter amount from Item 26

     

1 / RECORD TYPES:


1 - Production sold/commercial storage

2 - On farm storage, measurement

3 - Livestock feeding records

4 - Appraisal

5 - Other - Identify in Item 31, Remarks

2 / YIELD TYPES:


A - Actual yield

B - Bypass Year

C - Added practice/type/intended use/planting period/unit

E - 80% of T-yield

I - 100% of T-yield for new producer of crop

N - 90% of T-yield

O - Zero credited yield

P - 75% of previous year approved yield

Q - COC special request

R - Replacement yield

S - 65% of the T-yield

T - 100% of the T-yield

U - Substitute yield

V - Substitute yield

Z - Zero acres planted


CCC-452 Manual (proposal 2) Page 2 of 2

PART E - REMARKS AND ACTUAL INFORMATION

31. Remarks

     

NOTE:

The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting the following information is the Agricultural Act of 1996, as amended, the Commodity Credit Corporation Charter Act, the regulations promulgated thereunder (7 CFR Part 1437), and the Internal Revenue Code (26 USC 6109). The requested information is necessary for CCC to consider and process a request for assistance under the Noninsured Crop Disaster Assistance Program and to assist in determining eligibility. Furnishing the requested information is voluntary; however, failure to furnish correct information will result in rejection of the request. This information may be provided to other agencies, IRS, Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 USC 286, 287, 371, 641, 651, 1001; 15 USC 714m; and 31 USC 3729, may be applicable to the information provided.


According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0175. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

PART F- PRODUCER'S CERTIFICATION

I hereby certify that the information included on this form includes a complete and accurate record of actual production history. The actual production history is accurately identified to the unit, crop and crop years shown. I understand that the information on this form may be spot checked and failure to certify accurately may result in a loss of program benefits. Additionally, I direct the purchaser, warehouse operator, ginner, or any person who otherwise stores or purchases crop production identified on this form to disclose those storage or purchase records of the identified crop to USDA representatives for the purpose of verification of production. I understand that the payment yield may be different than the approved yield if the unit acreage increases or plant density changes.

32A. Signature of Producer (BY)

32B. Title/Relationship of the Individual Signing in a

Representative Capacity

32C. Date (MM-DD-YYYY)


     

     

33A. Signature of COC Representative

33B. Date (MM-DD-YYYY)

33C. County FSA Office Name and Address


     

     

Telephone No. (Include Area Code):      

The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the basis of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) Persons with disabilities, who wish to file a program complaint, write to the address below or if you require alternative means of communication for program information (e.g., Braille, large print, audiotape, etc.) please contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program complaint, please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).


If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter by mail to U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. USDA is an equal opportunity provider and employer.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCrowell, Anita - FSA, Washington, DC
File Modified0000-00-00
File Created2021-01-25

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