Agricultural Surveys Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form QID 303011 Sheep and Goat Report - january 1, 2016 - MN	Form and Instruction	Modified	Available
Form QID 302121 Hog Report December 1, 2015 - AK	Form and Instruction	Modified	Available
Form QID 304011 Cattle Report - January 1, 2016 - Version A	Form and Instruction	Modified	Available
Form QID 303011 - Versi Sheep and Goat Repoort - January 1, 2016	Form and Instruction	Modified	Available
Form QID 304011 Version Cattle Report - January 1, 2014	Form and Instruction	Modified	Available
Form QID Landlord Screening Supplement	Form and Instruction	Modified	Available
Form QID 303071 Sheep And Goat Report - July - Master	Form and Instruction	Modified	Available
Form QID 303071 Sheep And Goat Report - July - IN	Form and Instruction	Modified	Available
Form QID Telephone Quality Control Reinterview Form	Form and Instruction	Modified	Available
Form QID 303011 Sheep And Goat Report - January - Master	Form and Instruction	Modified	Available
Form QID 303011 Sheep And Goat Report - January 1, 2016 - WY	Form and Instruction	Modified	Available
Form QID 301082 On Farm Rice Stocks Survey - Master	Form and Instruction	Modified	Available
Form QID 301082 On Farm Rice Stocks Survey - August 1, 2013 - TX	Form and Instruction	Modified	Available
Form QID 190200 Agricultural Land Values - Master	Form and Instruction	Modified	Available
Form QID 143600 Land Rent And Value Survey - 2014 - ND	Form and Instruction	Modified	Available
Form QID 190200 Agricultural Land Values - January 1, 2014 - AZ	Form and Instruction	Modified	Available
Form QID 302121 Hog Report - Master	Form and Instruction	Modified	Available
Form QID 302121 Hog Report - December 1, 2015 - IA	Form and Instruction	Modified	Available
Form QID Crop or Livestock Loss Survey	Form and Instruction	Modified	Available
Form QID 301123 Agricultural Survey - December 2013 - Master	Form and Instruction	Modified	Available
Form QID 301123 Agricultural Survey - December 1, 2013 - IA	Form and Instruction	Modified	Available
Form QID 301091 Agricultural Survey - September 2013 - Master	Form and Instruction	Modified	Available
Form QID 301091 Agricultural Survey - September 1, 2013 - IA	Form and Instruction	Modified	Available
Form QID 301061 Agricultural Survey - June 2013 - Master	Form and Instruction	Modified	Available
Form QID 301061 Agricultural Survey - June 1, 2013 - IA	Form and Instruction	Modified	Available
Form QID 301031 Agricultural Survey - March 2013 - Master	Form and Instruction	Modified	Repair queued
Form QID 301031 Agricultural Survey - March 1, 2014 - IA	Form and Instruction	Modified	Available
Form QID 356213 Cattle On Feed Inquiry - December 1, 2013 - IA	Form and Instruction	Modified	Available
Form QID 351113 Cattle On Feed Inquiry - June 1, 2013 - TX	Form and Instruction	Modified	Available
Form QID 351113 Cattle On Feed Inquiry - May 1, 2013 - TX	Form and Instruction	Modified	Available
Form QID Cattle On Feed Inquiry - February 1, 2014 - IA	Form and Instruction	Modified	Available
Form QID Cattle On Feed Inquiry - January 1, 2014 - IA	Form and Instruction	Modified	Available
Form QID 304011 Cattle Report - January - Master	Form and Instruction	Modified	Available
Form QID 304071 Cattle Report - July 1, 2012	Form and Instruction	Modified	Available
Form QID 304011 Cattle Report - January 1, 2016 - WY - Version D	Form and Instruction	Modified	Available
Form QID 304011 Cattle Report - January 1, 2016 - TX - Version C	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - November 2013 - Master	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - November - IA	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - October 2013 - Master	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - October - IA	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - September 2013 - Master	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - September - IA	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - August 2013 - Master	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - August - IA	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - July 2013 - Master	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - July - IA	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - June 2013 - Master	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - June - IL	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - May - Master	Form and Instruction	Modified	Available
Form QID 030050 Ag Yield Survey - May - IA	Form and Instruction	Modified	Available
Form QID 090501 June Agricultural Survey - Master	Form and Instruction	Modified	Available
Form QID 090501 2013 June Agricultural Survey - IA	Form and Instruction	Modified	Available
Form QID 122767 2013 June Agricultural Survey Area Screening - Version C	Form and Instruction	Modified	Available
Form QID 122899 2013 June Agricultural Survey Area Screening - Version B	Form and Instruction	Modified	Available
Form QID 122765 2013 June Agricultural Survey Area Screening - Version A	Form and Instruction	Modified	Available
Form QID Quality Control Worksheet For June Agricultural Survey (Area Frame Segments)	Form and Instruction	Modified	Available
Form QID Telephone Quality Control Worksheet For June Agricultural Survey (Area Frame Samples)	Form and Instruction	Modified	Available
0213 - Dec. Hog Survey, Jan, Cattle Survey, Jan. Sheep & Goat Survey - Non-substantive Change Request - Aug 26, 2015.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-08-27	Available
0213 - 2014 Corn and Grain Producers - Why you should respond.pdf	Supplementary Document	Uploaded 2014-10-09	Available
0213 - Crops Acreage and Grain Stocks - Dec - Non-substantive Change Request - Oct 2014.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-10-09	Available
0213-ags-2013-SSA - Rev.docx	Supporting Statement A	Uploaded 2014-06-18	Available
0213 - BEA support of NASS Ag Surveys Program - reply - 12-11-2013.docx	Supplementary Document	Uploaded 2014-02-07	Available
0213 - 2014 Sheep and Goats Industry - Sample Support Letter.docx	Supplementary Document	Uploaded 2014-02-07	Available
0213-ags-2013-SSB - Rev.docx	Supporting Statement B	Uploaded 2014-06-18	Available
EDR General Instructions Page.pdf	Supplementary Document	Uploaded 2014-01-31	Available
NASDA - 004 Revised - June 2009.doc	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Reasons for Nonresponse in the 2009 June Area Survey - Apr 2011.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - The Feasibility of Using NASS's Sampling List Frame to Evaluate Errors - Oct 2011.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Adjusting the June Area Survey Estimate of the Number of US Farms - Nov 2011.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Area Sampling Frame Construction - July 2012.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Exploring Quarterly Agricultural Survey Questionnaire Version Reduction - May 2009.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Acreage report - 6-28-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Quarterly Hogs and Pigs report - 09-27-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Grain Stocks - 09-30-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Crop Production - Ag Yield Survey - 11-08-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Cattle - 02-01-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Cattle On Feed - 11-22-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Sheep and Goats - 02-01-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Rice Stocks - 10-29-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Prospective Plantings - 03-28-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Small Grains - 09-30-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Land Values - 08-02-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - Farms, Land in Farms and Livestock Operations - 02-19-2013.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2014 Sheep and Goats - Cover Letter.docx	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2014 Sheep and Goats - Sample News Release.doc	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2014 January Sheep and Goat Survey - Backgrounder.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2014 January Cattle Survey - Sample Letter.docx	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2014 January Cattle Survey - Sample News Release.docx	Supplementary Document	Uploaded 2014-01-31	Available
0213 -2014 Cattle Survey - Backgrounder.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 December Hogs and Pigs - news release.docx	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 December Hogs and Pigs Survey - Sample Letter.docx	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 Hogs Backgrounder.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 Ag Yield Presurvey Letter.doc	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 Ag Yield Backgrounder.docx	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2010_June_Surveys_News_Release.doc	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 December Ag Survey Sample Cover Letter.docx	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 Crops-Stocks Fact Sheet.pdf	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 June Area Survey - Backgrounder.doc	Supplementary Document	Uploaded 2014-01-31	Available
0213 - 2013 June Area Surveys - News Release.doc	Supplementary Document	Uploaded 2014-01-31	Available
PIA - NASS UNIX MA Oct. 2011.doc	Supplementary Document	Uploaded 2014-01-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
36775	Agricultural Surveys Program	Form and Instruction	Modified	Sheep and Goat Report - january 1, 2016 - MN
36775	Agricultural Surveys Program	Form and Instruction	Modified	Hog Report December 1, 2015 - AK
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle Report - January 1, 2016 - Version A
36775	Agricultural Surveys Program	Form and Instruction	Modified	Sheep and Goat Repoort - January 1, 2016
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle Report - January 1, 2014
36775	Agricultural Surveys Program	Form and Instruction	Modified	Landlord Screening Supplement
36775	Agricultural Surveys Program	Form and Instruction	Modified	Sheep And Goat Report - July - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Sheep And Goat Report - July - IN
36775	Agricultural Surveys Program	Form and Instruction	Modified	Telephone Quality Control Reinterview Form
36775	Agricultural Surveys Program	Form and Instruction	Modified	Sheep And Goat Report - January - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Sheep And Goat Report - January 1, 2016 - WY
36775	Agricultural Surveys Program	Form and Instruction	Modified	On Farm Rice Stocks Survey - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	On Farm Rice Stocks Survey - August 1, 2013 - TX
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Land Values - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Land Rent And Value Survey - 2014 - ND
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Land Values - January 1, 2014 - AZ
36775	Agricultural Surveys Program	Form and Instruction	Modified	Hog Report - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Hog Report - December 1, 2015 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Crop or Livestock Loss Survey
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - December 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - December 1, 2013 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - September 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - September 1, 2013 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - June 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - June 1, 2013 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - March 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Agricultural Survey - March 1, 2014 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle On Feed Inquiry - December 1, 2013 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle On Feed Inquiry - June 1, 2013 - TX
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle On Feed Inquiry - May 1, 2013 - TX
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle On Feed Inquiry - February 1, 2014 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle On Feed Inquiry - January 1, 2014 - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle Report - January - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle Report - July 1, 2012
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle Report - January 1, 2016 - WY - Version D
36775	Agricultural Surveys Program	Form and Instruction	Modified	Cattle Report - January 1, 2016 - TX - Version C
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - November 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - November - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - October 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - October - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - September 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - September - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - August 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - August - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - July 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - July - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - June 2013 - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - June - IL
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - May - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	Ag Yield Survey - May - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	June Agricultural Survey - Master
36775	Agricultural Surveys Program	Form and Instruction	Modified	2013 June Agricultural Survey - IA
36775	Agricultural Surveys Program	Form and Instruction	Modified	2013 June Agricultural Survey Area Screening - Version C
36775	Agricultural Surveys Program	Form and Instruction	Modified	2013 June Agricultural Survey Area Screening - Version B
36775	Agricultural Surveys Program	Form and Instruction	Modified	2013 June Agricultural Survey Area Screening - Version A
36775	Agricultural Surveys Program	Form and Instruction	Modified	Quality Control Worksheet For June Agricultural Survey (Area Frame Segments)
36775	Agricultural Surveys Program	Form and Instruction	Modified	Telephone Quality Control Worksheet For June Agricultural Survey (Area Frame Samples)
181204	Agricultural Surveys Program - non-response	Other-Non-response statement	Modified

ICR Details

OMB Control No: 0535-0213	ICR Reference No: 201506-0535-003
Status: Historical Active	Previous ICR Reference No: 201410-0535-001
Agency/Subagency: USDA/NASS	Agency Tracking No:
Title: Agricultural Surveys Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/26/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/02/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	06/30/2017	06/30/2017
Responses	1,257,250	0	1,265,750
Time Burden (Hours)	204,764	0	197,621
Cost Burden (Dollars)	0	0	0

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Abstract: This is a non-substantive change request to make minor changes to the December Hog questionnaire, the January Sheep and Goat questionnaire, and the January Cattle Survey.

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Authorizing Statute(s): PL: Pub.L. 107 - 347 512 Name of Law: CIPSEA
   US Code: 7 USC 3601.1 Name of Law: Freedom of Information Act
   US Code: 16 USC 3834(c) Name of Law: Rental Rates
   US Code: 7 USC 2276 Name of Law: Confidentiality of Information
   US Code: 18 USC 1905 Name of Law: Disclosure of Confidential Information
   US Code: 7 USC 2204 Name of Law: Duties of Secretary
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 207	10/25/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 12144	03/04/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Agricultural Surveys Program	QID 090501, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 030050, QID 304011, QID, QID 351113, QID 351113, QID 356213, QID 301031, QID 301031, QID 301061, QID 301061, QID 301091, QID 301123, QID 143600, QID 303071, QID 303071, QID 090501, QID 304011, QID 303011, QID 302121, QID 304011 Version B - MT, QID 303011 - Version A - AL, QID 301091, QID 301123, QID, QID 302121, QID 302121, QID 190200, QID 190200, QID 301082, QID 301082, QID 303011, QID 303011, QID, QID, QID 030050, QID 304011, QID 304071, QID 304011, QID, QID, QID, QID 122765, QID 122899, QID 122767	Telephone Quality Control Worksheet For June Agricultural Survey (Area Frame Samples) ,   Quality Control Worksheet For June Agricultural Survey (Area Frame Segments) ,   2013 June Agricultural Survey Area Screening - Version A ,   2013 June Agricultural Survey Area Screening - Version B ,   2013 June Agricultural Survey Area Screening - Version C ,   2013 June Agricultural Survey - IA ,   June Agricultural Survey - Master ,   Ag Yield Survey - May - IA ,   Ag Yield Survey - May - Master ,   Ag Yield Survey - June - IL ,   Ag Yield Survey - June 2013 - Master ,   Ag Yield Survey - July - IA ,   Ag Yield Survey - July 2013 - Master ,   Ag Yield Survey - August - IA ,   Ag Yield Survey - August 2013 - Master ,   Ag Yield Survey - September - IA ,   Ag Yield Survey - September 2013 - Master ,   Ag Yield Survey - October - IA ,   Ag Yield Survey - October 2013 - Master ,   Ag Yield Survey - November - IA ,   Ag Yield Survey - November 2013 - Master ,   Cattle Report - January 1, 2016 - TX - Version C ,   Cattle Report - January 1, 2016 - WY - Version D ,   Cattle Report - July 1, 2012 ,   Cattle Report - January - Master ,   Cattle On Feed Inquiry - January 1, 2014 - IA ,   Cattle On Feed Inquiry - February 1, 2014 - IA ,   Cattle On Feed Inquiry - May 1, 2013 - TX ,   Cattle On Feed Inquiry - June 1, 2013 - TX ,   Cattle On Feed Inquiry - December 1, 2013 - IA ,   Agricultural Survey - March 1, 2014 - IA ,   Agricultural Survey - March 2013 - Master ,   Agricultural Survey - June 1, 2013 - IA ,   Agricultural Survey - June 2013 - Master ,   Agricultural Survey - September 1, 2013 - IA ,   Agricultural Survey - September 2013 - Master ,   Agricultural Survey - December 1, 2013 - IA ,   Agricultural Survey - December 2013 - Master ,   Crop or Livestock Loss Survey ,   Hog Report - December 1, 2015 - IA ,   Hog Report - Master ,   Agricultural Land Values - January 1, 2014 - AZ ,   Land Rent And Value Survey - 2014 - ND ,   Agricultural Land Values - Master ,   On Farm Rice Stocks Survey - August 1, 2013 - TX ,   On Farm Rice Stocks Survey - Master ,   Sheep And Goat Report - January 1, 2016 - WY ,   Sheep And Goat Report - January - Master ,   Telephone Quality Control Reinterview Form ,   Sheep And Goat Report - July - IN ,   Sheep And Goat Report - July - Master ,   Landlord Screening Supplement ,   Cattle Report - January 1, 2014 ,   Sheep and Goat Repoort - January 1, 2016 ,   Cattle Report - January 1, 2016 - Version A ,   Hog Report December 1, 2015 - AK ,   Sheep and Goat Report - january 1, 2016 - MN
Agricultural Surveys Program - non-response

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,257,250	1,265,750	0	-8,500	0	0
Annual Time Burden (Hours)	204,764	197,621	0	7,143	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The overall increase, a program change in burden, is due primarily to the addition of the TOTAL screening form to the Area Frame Surveys. The rest of the changes are due to the adjustment in sample sizes to accommodate changes in the farming population.

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Annual Cost to Federal Government: $30,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/02/2015

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