Download:
pdf |
pdfThis form is available electronically.
CCC-452
Form Approved – OMB No. 0560-0175
1. Crop Year
2. Unit No.
U.S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation
(04-14-15)
NAP ACTUAL PRODUCTION HISTORY AND
APPROVED YIELD RECORD
See Page 2 for Privacy Act and Paperwork Reduction Act Statements.
PART A - GENERAL INFORMATION
3A. Producer(s) Name
3B. Telephone Number
(Include Area Code)
3C. Identification Number
(Last 4 Digits)
5B. State and County Codes
6. Native Sod Conversion?
(1)
(2)
(3)
(4)
(5)
4. Spotcheck Required?
YES
5A. County FSA Office Name
NO
YES
NO
PART B- UNIT AND CROP IDENTIFICATION
7. Crop Name
8. Crop Type
14. Do Yield Limitation
Rules Apply?
YES
9. Intended Use
12. Organic Status 13. Unit of
Measure
Conventional
Transitional
USDA Certified
15. County Expected 16. If Applicable, COC Adjusted T-Yield and Reason Code (COC Use Only)
Yield/T-Yield
16A. Adjusted 16B. Reason Code: (Check One)
16C. Date of COC
Yield
Minutes
Inconsistent farming/management practices
Topography
NO
10. FSA Practice
11. Planting Period
(“I” for Irrigated or
“N” for Nonirrigated)
Age of stand/trees
Soil Type
Multiple County T-Yield Variations
Elevation
PART C - ACTUAL PRODUCTION HISTORY
17.
APH Crop Year
18.
Eligible
Disaster?
YES
NO
19.
Acres Planted
20.
Actual Production
21.
Record Type 1/
COC USE ONLY
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)
divided
by
26. Calculated
Yield
27. Prior Crop Year
Approved Yield
28. Cup
Percentage
29. Yield Cup
A. YES, enter the higher of Item 26 or Item 29
=
x
=
1 / RECORD TYPES:
2 / YIELD TYPES:
1
2
3
4
5
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
-
Production sold/commercial storage
On farm storage, measurement
Livestock feeding records
Appraisal
Other - Identify in Item 31, Remarks
30. If Item 14 is:
B. NO, enter amount from Item 26
P - 75% of previous year approved yield
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 (04-14-15)
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 – as amended). The authority for requesting the
information identified on this form is 7 CFR Part 1437, the Commodity Credit Corporation Charter Act (15 U.S.C. 714 et seq.), and the Agricultural
Act of 2014 (Pub. L. 113-79). The information will be used to determine eligibility to participate in and receive benefits under the Noninsured Crop
Disaster Assistance Program (NAP). The information collected on this form may be disclosed to other Federal, State, Local government agencies,
Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in
applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated). Providing the requested
information is voluntary. However, failure to furnish the requested information will result in a determination of ineligibility to participate in and receive
benefits under the Noninsured Crop Disaster Assistance Program (NAP).
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)
33A. Signature of COC Representative
32B. Title/Relationship of the Individual Signing in a
Representative Capacity
33B. Date (MM-DD-YYYY)
32C. 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 Type | application/pdf |
File Title | CCC0452_150414V01 |
Author | Anita.Crowell |
File Modified | 2015-06-02 |
File Created | 2015-04-14 |