| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 1 
 1/14/2016 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Request for loan making assist. /LM individuals & married app. | 
 | 
 | FSA-2001 (Farmer) | 764.51(b) 767.151 | 24,730* 125(e)* | .751 | 18,666 | 30 | 
 | 9,333 | ||||
| Request for loan making assist. /LM - entity | 
 | 
 | FSA-2001 (Farmer) | 764.51(b)767.151 | 7,193* | .333 | 2,395 | 60 | 
 | 2,395 | ||||
| Request for loan making assist. subordin individuals & married | 
 | 
 | FSA-2001 (Farmer) | 765.205 (a)(1) | 10,649* | .751 | 7,979 | 30 | 
 | 3,990 | ||||
| Request for loan making assist. /subordination - entity | 
 | 
 | FSA-2001 (Farmer) | 765.205 (a)(1) | 2,483* | .333 | 838 | 60 | 
 | 831 | ||||
| Request for loan making assist. /transfer and assumption (ind.) | 
				 | 
				 | FSA-2001 (Farmer) | 765.403 (a)(1) | 917* | .751 | 692 | 30 | 
				 | 347 | ||||
| Request for loan making assist. /transfer and assumption (ent) | 
				 | 
				 | FSA-2001 (Farmer) | 765.403 (a)(1) | 225* | .333 | 84 | 60 | 
				 | 78 | ||||
| Request for loan making assist. /PLS - individuals & married | 
 | 
 | FSA-2001 (Farmer) | 766.102 (a)(2) | 4,351* | .751 | 3,288 | 30 | 
 | 1,645 | ||||
| Request for loan making assist. /PLS - entity | 
 | 
 | FSA-2001 (Farmer) | 766.102 (a)(2) | 1,013* | .333 | 338 | 60 | 
 | 338 | ||||
| Request for loan making assist. /SA individuals & married app. | 
 | 
 | FSA-2001 (Farmer) | 766.204 (a)(2) | 82* | .751 | 62 | 30 | 
 | 32 | ||||
| Request for loan making assist. SA - entity | 
 | 
 | FSA-2001 (Farmer) | 766.204 (a)(2) | 18* | .333 | 6 | 60 | 
 | 6 | ||||
| Three-Year Financial History - new applicants | 
 | 
 | FSA-2002 (Farmer) | 764.51 (b)(4) | 9,466 | 1 | 9,466 | 60 | 
 | 9,466 | ||||
| Three-Year Financial History - existing aplicants | 
 | 
 | FSA-2002 (Farmer) | 764.51 (b)(4) | 4,871 | 1 | 4,871 | 30 | 
 | 2,436 | ||||
| Three-Year Financial History - FSFL | 
 | 
 | FSA-2002 (Farmer) | 1436.4 | 250 N/A | 1 | 250 N/A | 30 | 125 | 0 | ||||
| Three-Year Financial History - PLS | 
 | 
 | FSA-2002 (Farmer) | 766.102 (a)(3) | 1,218 | 1 | 1,218 | 30 | 
 | 609 | ||||
| Three-Year Production History - new applicants | 
 | 
 | FSA-2003 (Farmer) | 764.51 (b)(5) | 9,466 | 1 | 9,466 | 60 | 
 | 9,466 | ||||
| Three-Year Production History - existing applicants | 
				 | 
				 | FSA-2003 (Farmer) | 761.104 764.51 | 4,871 | 1 | 4,871 | 30 | 
				 | 2,436 | ||||
| Three-Year Production History - FSFL | 
				 | 
				 | FSA-2003 (Farmer) | 1436.4 | 250 N/A | 1 | 250 N/A | 30 | 125 | 0 | ||||
| SUBTOTALS  | 51,786* | 
 | 62,240 | 
				 | 250 | 43,408 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 2 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Three-Year Production History - PLS | 
 | 
 | FSA-2003 (Farmer) | 766.102 (a)(2) | 1,218 | 1 | 1,218 | 30 | 
 | 609 | ||||
| Authorization to release information - LM application | 
 | 
 | FSA-2004 (Farmer) | 764.51(b) | 19,458 
 | 1 | 19,458 
 | 10 | 
 | 3,243 | ||||
| Authorization to release information - subordination | 
 | 
 | FSA-2004 (Farmer) | 765.205 (a)(6) | 8,653 | 1 | 8,653 | 10 | 
 | 1,442 | ||||
| Authorization to release info -transfer & assumpion | 
 | 
 | FSA-2004 (Farmer) | 765.404 (b)(1) | 749 | 1 | 749 | 10 | 
 | 126 | ||||
| Authorization to release information - debt settlement | 
 | 
 | FSA-2004 (Farmer) | 1956.66 | 2,630 | 1 | 2,630 | 10 | 
 | 438 | ||||
| Authorization to release information - FSFL | 
 | 
 | FSA-2004 (Farmer) | 1436.4 | 1,500 N/A | 1 | 1,500 N/A | 10 | 250 | 0 | ||||
| Authorization to release information - PLS | 
 | 
 | FSA-2004 (Farmer) | 766.102 (a)(6) | 3,546 | 1 | 3,546 | 10 | 
 | 591 | ||||
| Authorization to release info - homestead protection | 
 | 
 | FSA-2004 (Farmer) | 766.152 (b)(5) | 22 | 1 | 22 | 10 | 
 | 4 | ||||
| Authorization to release information - SA amortization | 
 | 
 | FSA-2004 (Farmer) | 766.204 (a)(2) | 68 | 1 | 68 | 10 | 
 | 11 | ||||
| Creditor list - loan making | 
 | 
 | FSA-2005 (Farmer) | 764.51(b)(12) | 19,458 | 1 | 19,458 | 20 | 
 | 8,134 
 | ||||
| Creditor list - subordination | 
 | 
 | FSA-2005 (Farmer) | 765.205 (a)(6) | 8,652 | 1 | 8,652 | 20 | 
 | 2,884 | ||||
| Creditor list - transfer and assumption - ineligible | 
 | 
 | FSA-2005 (Farmer) | 765.404 (b)(1) | 749 | 1 | 749 | 20 | 
 | 250 | ||||
| Creditor list - PLS | 
 | 
 | FSA-2005 (Farmer) | 766.102 (a) | 3,546 | 1 | 3,546 | 20 | 
 | 1,182 | ||||
| Creditor list - homestead protection | 
 | 
 | FSA-2005 (Farmer) | 766.151 (a)(3) | 22 | 1 | 22 | 20 | 
 | 7 | ||||
| Creditor list - SA amortization | 
 | 
 | FSA-2005 (Farmer) | 766.204 (a)(2) | 68 | 1 | 68 | 20 | 
 | 23 | ||||
| Property Owned and Leased - loan making | 
 | 
 | FSA-2006 (Farmer) | 764.51(b) 764.402 | 20,208 | 1 | 20,208 | 30 | 
 | 10,104 | ||||
| SUBTOTALS  | 0* | 
 | 89,048 | 
				 | 250 | 29,048 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 3 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | ||||
| Property Owned and Leased - subordination | 
 | 
 | FSA-2006 (Farmer) | 765.205 (a)(2) | 8,652 | 1 | 8,652 | 30 | 
 | 4,326 | ||||
| Property Owned and Leased - PLS | 
 | 
 | FSA-2006 (Farmer) | 766.102 (a)(7) | 3,546 | 1 | 3,546 | 30 | 
 | 1,773 | ||||
| Property Owned and Leased - SA amortization | 
 | 
 | FSA-2006 (Farmer) | 766.204 (a)(2) | 68 | 1 | 68 | 30 | 
 | 34 | ||||
| Statement required by the Privacy Act | 
				 | 
				 | FSA-2007 (Farmer) | 764.402 | 920* | 1 | 920 | 15 | 
				 | 230 | ||||
| Verification of income - loan making | 
 | 
 | FSA-2014 (Business) | 764.51 (b)(8) | 19,546* | 1 | 19,546 | 15 | 
 | 4,887 | ||||
| Verification of income - subordination | 
 | 
 | FSA-2014 (Business) | 765.205 (a)(4) | 6,709* | 1 | 6,709 | 15 | 
 | 1,678 | ||||
| Verification. of income - transfr & assmptn - ineligible | 
 | 
 | FSA-2014 (Business) | 765.404 (b)(1) | 146* | 1 | 146 | 15 | 
 | 37 | ||||
| Verification of income - PLS | 
 | 
 | FSA-2014 (Business) | 766.102 (a)(6) | 2,751* | 1 | 2,751 | 15 | 
 | 689 | ||||
| Verification of income - homestead protection | 
 | 
 | FSA-2014 (Business) | 766.151 (b)(5) | 19* | 1 | 19 | 15 | 
 | 5 | ||||
| Verification of income - SA amortization | 
 | 
 | FSA-2014 (Business) | 766.204 (a)(2) | 51* | 1 | 51 | 15 | 
 | 13 | ||||
| Verification of debts and assets - debt settlement | 
 | 
 | FSA-2015 (Business) | 1956.66 | 4,208* | 3 | 12,624 | 20 | 
 | 4,208 | ||||
| Verification of debts and assets - FSFL | 
 | 
 | FSA-2015 (Business) | 1436.5(a) (1) | 2,800* N/A | 3 | 8,400 N/A | 20 | 2800 | 0 | ||||
| Verification of debts and assets - loan making - OL & EM | 
 | 
 | FSA-2015 (Business) | 764.51 (b)(12) | 34,326* | 3 | 102,978 | 20 | 
 | 34,326 | ||||
| Verification of debts and assets - loan making - FO | 
 | 
 | FSA-2015 (Business) | 764.51 (b)(12) | 4,310* | 3 | 12,930 | 20 | 
 | 4,310 | ||||
| SUBTOTALS  | 72,986* | 
				 | 170,940 | 
				 | 2800 | 56,516 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 4 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Verification of debts and assets - youth loans | 
 | 
 | FSA-2015 (Business) | 764.51 (d)(2) | 429* | 3 | 1,287 | 20 | 
 | 429 | ||||
| Verification of debts and assets - subordination | 
 | 
 | FSA-2015 (Business) | 765.205 (a)(6) | 13,834* | 3 | 41,502 | 20 | 
 | 13,834 | ||||
| Verification of debts and assets - transfer & assumption | 
 | 
 | FSA-2015 (Business) | 765.404 (b)(1) | 298* | 3 | 894 | 20 | 
 | 298 | ||||
| Verification of debts and assets - PLS | 
 | 
 | FSA-2015 (Business) | 766.102 (a)(8) | 5,314* | 3 | 15,942 | 20 | 
 | 5,314 | ||||
| Verification of debts and assets - SA amortization | 
 | 
 | FSA-2015 (Business) | 766.204 (a)(2) | 107* | 3 | 321 | 20 | 
 | 107 | ||||
| Verification of debts and assets - voluntary conveyance | 
 | 
 | FSA-2015 (Business) | 766.353 (a) | 30* | 3 | 90 | 20 | 
 | 30 | ||||
| Promissory note - individual | 
 | 
 | FSA-2026 (Farmer) | 764.402 (a)(1) | 23,062 | 1 | 23,062 | 20 | 
 | 7,687 | ||||
| Promissory note - entity members | 
 | 
 | FSA-2026 (Farmer) | 764.402 (a)(1) | 6,291 | 1 | 6,291 | 20 | 
 | 2,097 | ||||
| Promissory note - PLS - individual | 
 | 
 | FSA-2026 (Farmer) | 766.106 766.204 | 2,594 | 1 | 2,594 | 20 | 
 | 866 | ||||
| Promissory note - PLS - entity members | 
 | 
 | FSA-2026 (Farmer) | 766.106 766.204 | 805 | 1 | 805 | 20 | 
 | 269 | ||||
| Promissory note - cosigner | 
 | 
 | FSA-2026 (Farmer) | 764.402 (a)(4) | 204 | 1 | 204 | 20 | 
 | 68 | ||||
| Supplemental payment agreement | 
 | 
 | FSA-2027 (Farmer) | 764.254 766.109 | 656 | 1 | 656 | 15 | 
 | 165 | ||||
| Security agreement - youth (lien on products financed) | 
 | 
 | FSA-2028 (Farmer) | 764.305 | 3,906 | 1 | 3,906 | 20 | 
 | 1,302 | ||||
| Security agreement - pledge of third party | 
 | 
 | FSA-2028 (Farmer) | 764.103 (b)(1) | 396 | 1 | 396 | 20 | 
 | 132 | ||||
| Security agreement - 150 percent requirement | 
 | 
 | FSA-2028 (Farmer) | 764.103 (c) | 1,209 | 1 | 1,209 | 20 | 
 | 403 | ||||
| Security agreement - lien on non-essential assets | 
 | 
 | FSA-2028 (Farmer) | 764.103 (c) | 135 | 1 | 135 | 20 | 
 | 45 | ||||
| SUBTOTALS  | 20,012* | 
 | 99,294 | 
				 | 
 | 33,046 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 5 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Security agreement - OL lien on property financed | 
 | 
 | FSA-2028 (Farmer) | 764.255 (b) | 14,713 | 1 | 14,713 | 20 | 
 | 4904 | ||||
| Security agreement - add livestock when crops to be fed | 
 | 
 | FSA-2028 (Farmer) | 765.303 (a)(4) | 2,307 | 1 | 2,307 | 20 | 
 | 769 | ||||
| Security agreement - lien on new property in exchange | 
 | 
 | FSA-2028 (Farmer) | 765.303 (c)(2) | 4,425 | 1 | 4,425 | 20 | 
 | 1,475 | ||||
| Security agreement - Delinquent DSA lien on all assets | 
 | 
 | FSA-2028 (Farmer) | 766.56 | 133 | 1 | 133 | 20 | 
 | 44 | ||||
| Security agreement - PLS lien on all assets | 
 | 
 | FSA-2028 (Farmer) | 766.112 (a) | 343 | 1 | 343 | 20 | 
 | 114 | ||||
| Security agreement - SA amortization lien on all assets | 
 | 
 | FSA-2028 (Farmer) | 766.204 (a)(5) | 67 | 1 | 67 | 20 | 
 | 22 | ||||
| RE mortgage/deed of trust -pledge from 3rd party | 
 | 
 | FSA-2029M/2029D (Farmer) | 764.103 (b)(1) | 207 | 1 | 207 | 30 | 
 | 104 | ||||
| RE mortgage/deed of trust -150% requirement | 
 | 
 | FSA-2029M/2029D (Farmer) | 764.103 (c) | 7,503 | 1 | 7,503 | 30 | 
 | 3,752 | ||||
| RE mortgage/deed of trust - lien on nonessential assets | 
 | 
 | FSA-2029M/2029D (Farmer) | 764.103 (e) | 525 | 1 | 525 | 30 | 
 | 263 | ||||
| RE mortgage/deed of trust - RE financed w/ FO funds | 
 | 
 | FSA-2029M/2029D (Farmer) | 764.155 (b) | 3,045 | 1 | 3,045 | 30 | 
 | 1,523 | ||||
| RE mortgage/deed of trust - RE financed w/ BFDP funds | 
 | 
 | FSA-2029M/2029D (Farmer) | 764.205 (b) | 156 | 1 | 156 | 30 | 
 | 78 | ||||
| RE mortgage/deed of trust EM physical loss | 
 | 
 | FSA-2029M/2029D (Farmer) | 764.353 (c) | 154 | 1 | 154 | 30 | 
 | 79 | ||||
| RE mortgage/deed of trust - subordination w/purchase | 
 | 
 | FSA-2029M/2029D (Farmer) | 765.205 (b) | 216 | 1 | 216 | 30 | 
 | 108 | ||||
| RE mortgage/deed of trust - proceeds used to develop | 
 | 
 | FSA-2029M/2029D (Farmer) | 765.352 (a) | 82 | 1 | 82 | 30 | 
 | 41 | ||||
| RE mortgage/deed of trust - delinquent DSA lien on assets | 
 | 
 | FSA-2029M/2029D (Farmer) | 766.56 | 54 | 1 | 54 | 30 | 
 | 27 | ||||
| RE mortgage/deed of trust - PLS lien on all assets | 
 | 
 | FSA-2029M/2029D (Farmer) | 766.112 (a) | 730 | 1 | 730 | 30 | 
 | 365 | ||||
| SUBTOTALS  | 0* | 
 | 34,660 | 
				 | 
 | 13,668 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 6 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| RE mortgage/deed of trust - SA amortization lien on all assets | 
 | 
 | FSA-2029M/2029D (Farmer) | 766.204 (a) | 67 | 1 | 67 | 30 | 
 | 34 | ||||
| Assignment of proceeds & consent to payment - applicant | 
 | 
 | FSA-2041, FSA-2042 (Farmer) | 764.402 765.303 | 7,024 | 1 | 7,024 | 20 | 
 | 2,336 | ||||
| Assignment of proceeds & consent to payment - purchaser | 
 | 
 | FSA-2041, FSA-2042 (Business) | 764.402 765.303 | 2,341* | 3 | 7,023 | 20 | 
 | 2,336 | ||||
| Assignment of dairy proceeds- applicant | 
 | 
 | FSA-2043 (Farmer) | 764.402 | 3,315 | 1 | 3,315 | 20 | 
 | 1,105 | ||||
| Assignment of dairy proceeds - purchaser | 
 | 
 | FSA-2043 (Business) | 764.402 | 1,105* | 3 | 3,315 | 20 | 
 | 1,105 | ||||
| Assignment of income (includes mineral leases) | 
 | 
 | FSA-2044 (Farmer) | 764.402 765.252 | 1,941 | 1 | 1,941 | 20 | 
 | 647 | ||||
| Request for youth loan - applicant | 
 | 
 | FSA-2301 (Farmer) | 764.51 | 4,312* | 1 | 4,312 | 30 | 
 | 2,156 | ||||
| Request for youth loan - advisor | 
 | 
 | FSA-2301 (Farmer) | 764.302 (e) | 2,652* | 1.62 | 4,296 | 10 | 
 | 716 | ||||
| Request for youth loan - parent/guardian | 
 | 
 | FSA-2301 (Farmer) | 764.302 (f) | 4,044* | 1 | 4,044 | 10 | 
 | 674 | ||||
| Description of farm training and experience | 
 | 
 | FSA-2302 (Farmer) | 764.51(b)(3) | 10,615 | 1 | 10,615 | 20 | 
 | 3,538 | ||||
| Certification of disaster losses | 
 | 
 | FSA-2309 (Farmer) | 764.51 (b)(14) | 1,361 
 | 1 | 1,361 | 90 | 
 | 2,042 | ||||
| Lender's verification of loan application - individual | 
 | 
 | FSA-2310 (Farmer) | 764.352 (e) | 1,232 | 1 | 1,232 | 5 | 
 | 103 | ||||
| Lender's verification of loan application - entity members | 
 | 
 | FSA-2310 (Farmer) | 764.352 (e) | 379 | 1 | 379 | 5 | 
 | 32 | ||||
| Lender's verification of loan application - lender | 
 | 
 | FSA-2310 Business | 764.352 (e) | 806* | 2 | 1,612 | 30 | 
 | 787 | ||||
| Notification of loan approval and conditions | 
 | 
 | FSA-2313 (Farmer) | 764.401 (a) | 25,269 | 1 | 25,269 | 20 | 
 | 8,423 | ||||
| Request for Streamlined loan making assist./LM - Individual | 
 | 
 | FSA-2314 (Farmer) | 764.51(c) 
 | 5,000* 
 | .756 | 3,781 | 30 | 
 | 1890 | ||||
| SUBTOTALS  | 20,260* | 
				 | 79,586 | 
				 | 
 | 27,924 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 7 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Request for Streamlined loan making assist./LM - Entity | 
 | 
 | FSA-2314 (Farmer) | 764.51(c) | < 10* | .333 | < 10 | 60 | 
 | 0 | ||||
| Consent and subordination - applicant | 
 | 
 | FSA-2317 (Farmer) | 764.255 (b) | 186 | 1 | 186 | 15 | 
 | 47 | ||||
| Consent and subordination - lender | 
 | 
 | FSA-2317 (Business) | 764.255 (b) | 186* | 1 | 186 | 15 | 
 | 47 | ||||
| Agreement for disposition of jointly-owned property | 
 | 
 | FSA-2318 (Farmer) | 764.402 (c) | 118 | 1 | 118 | 10 | 
 | 20 | ||||
| Agreement with prior lienholder | 
 | 
 | FSA-2319 (Business) | 764.104 (a)(2) | 1,156* | 1 | 1,156 | 10 | 
 | 193 | ||||
| Agreement with prior lienholder - FSFL | 
 | 
 | FSA-2319 (Business) | 1436.8 | 800* N/A | 1 | 800 N/A | 10 | 133 | 0 | ||||
| Property insurance mortgage clause | 
				 | 
				 | FSA-2320/Non-form (Business) | 764.108 | 12* | 1 | 12 | 10 | 
				 | 2 | ||||
| Request for loan making assist. /LM individuals and married app | 
				 | 
				 | FSA-2330 (Farmer) | 764.51(c) | 5,593* 19(e)* | .751 | 4,215 | 90 | 
				 | 6,323 | ||||
| Request for loan making assist/ LM - entity LM | 
				 | 
				 | FSA-2330 (Farmer) | 764.51(c) 
 | <10 | .333 | <10 | 120 | 
				 | 0 | ||||
| Selection of attorney/title agent | 
 | 
 | FSA-2340 (Farmer) | 764.402 765.205 | 4,367 | 1 | 4,367 | 10 | 
 | 728 | ||||
| Certification of attorney/title company | 
 | 
 | FSA-2341, FSA-2342 (Business) | 764.402 765.205 | 2,455* | 1 | 2,455 | 20 | 
 | 818 | ||||
| Preliminary title opinion | 
 | 
 | FSA-2344 (Business) | 764.402 765.205 | 2,445 | 1.49 | 3,643 | 90 | 
 | 5,465 | ||||
| Loan closing instructions | 
 | 
 | FSA-2350 (Business) | 764.402 | 2,455 | 1.49 | 3,658 | 30 | 
 | 1,829 | ||||
| Certification of improvement of property | 
 | 
 | FSA-2351 (Farmer) | 764.402 765.205 | 452* | 1 | 452 | 10 | 
 | 75 | ||||
| Final title opinion | 
 | 
 | FSA-2352 (Business) | 764.402 765.205 | 2,445 | 1.49 | 3,643 | 30 | 
 | 1,822 | ||||
| Report of lien search | 
 | 
 | FSA-2360 (Business) | 764.402 | 545* | 1 | 545 | 30 | 
 | 273 | ||||
| SUBTOTALS  | 10,418* | 
 | 24,636 | 
				 | 133 | 17,642 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 8 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Report of lien search - FSFL | 
 | 
 | FSA-2360 (Business) | 1436.8 | 1,500* N/A | 1 | 1,500 N/A | 30 | 750 | 0 | ||||
| Subordination to the Government | 
 | 
 | FSA-2361 (Business) | 764.255 | 535* | 1 | 535 | 30 | 
 | 268 | ||||
| Request for waiver of borrower training requirements | 
 | 
 | FSA-2370 (Farmer) | 764.453 | 9,035 | 1 | 9,035 | 30 | 
 | 4,518 | ||||
| Agreement to complete training | 
 | 
 | FSA-2371 (Farmer) | 764.452 | 8,219 | 1 | 8,219 | 15 | 
 | 2,055 | ||||
| Agreement to conduct production financial training | 
 | 
 | FSA-2375 (Business) | 764.458 | 133* | 1 | 133 | 10 | 
 | 22 | ||||
| Borrower training course evaluation - borrower | 
 | 
 | FSA-2376 (Farmer) | 764.454 | 3,972 | 1 | 3,972 | 15 | 
 | 993 | ||||
| Borrower training course evaluation - vendor | 
 | 
 | FSA-2376 (Business) | 764.454 | 356 | 10.39 | 3,664 | 30 | 
 | 1,832 | ||||
| Documentation other credit is not available – lender | 
				 | 
				 | Non-form (Business) | 764.51(b)(6) | 5,946* | 3.14 | 18,670 | 60 | 
				 | 18,670 | ||||
| Copy of legal description of RE to purchase, leases, agreements | 
				 | 
				 | Non-form (Farmer) | 764.51(b)(10) | 13,560 | 1 | 13,560 | 15 | 
				 | 3,390 | ||||
| Information needed to evaluate application | 
				 | 
				 | Non-form (Farmer) | 764.51(b)(13) | 1,255 | 1 | 1,255 | 15 | 
				 | 314 | ||||
| Request to keep application active (funds not available) | 
				 | 
				 | Non-form (Farmer) | 764.53(e) | 28 | 1 | 28 | 10 | 
				 | 5 | ||||
| Citizenship status documentation | 
				 | 
				 | Non-form (Farmer) | 764.101 (c) | 22 | 1 | 22 | 15 | 
				 | 6 | ||||
| Contract for sale – agreement to use insurance proceeds | 
 | 
 | Non-form (Farmer) | 764.104 (b)(2) | 19 | 1 | 19 | 15 | 
 | 5 | ||||
| Purchase contract holder agreement | 
 | 
 | Non-form (Business) | 764.104 (b)(5) | 19 | 1 | 19 | 15 | 
 | 5 | ||||
| Request to BIA to provide title status report | 
 | 
 | Non-form (Farmer) | 764.104 (c) | 12 | 1 | 12 | 30 | 
 | 6 | ||||
| Evidence of hazard insurance | 
 | 
 | Non-form (Farmer) | 764.108 | 12,454 | 1 | 12,454 | 15 | 
 | 3,114 | ||||
| SUBTOTALS  | 6,614* | 
 | 71,597 | 
				 | 750 | 35,203 | ||||||||
| 
				 
 
 
 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 9 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Evidence of flood insurance | 
 | 
 | Non-form (Farmer) | 764.108 | 11,063 | 1 | 11,063 | 15 | 
 | 2,766 | ||||
| Evidence of crop insurance | 
 | 
 | Non-form (Farmer) | 764.108 | 14,910 | 1 | 14,910 | 15 | 
 | 3,727 | ||||
| Waiver of eligibility for emergency crop loss assistance | 
				 | 
				 | Non-form (Farmer) | 764.108 (d) | 545 | 1 | 545 | 15 | 
				 | 136 | ||||
| Evidence to refinance bridge FO loan | 
				 | 
				 | Non-form (Farmer) | 764.151 (e) | 130 | 1 | 130 | 15 | 
				 | 33 | ||||
| Obtaining branded livestock and feeder cattle agreement | 
				 | 
				 | Non-form (Farmer) | 764.255 | 322 | 1 | 322 | 15 | 
				 | 81 | ||||
| Lien on motor vehicles | 
				 | 
				 | Non-form (Farmer) | 764.255 | 62 | 1 | 62 | 15 | 
				 | 16 | ||||
| EM RE purposes - lease exceeds loan term | 
 | 
 | Non-form (Farmer) | 764.352 (c) | 12 | 1 | 12 | 15 | 
 | 3 | ||||
| EM RE purposes - notification of lease's expiration | 
 | 
 | Non-form (Farmer) | 764.352 (c) | <10 | 1 | <10 | 15 | 
 | 0 | ||||
| Written declination of credit – EM applicants | 
				 | 
				 | Non-form (Farmer) | 764.352 (e) | 292 | 2 | 584 | 15 | 
				 | 146 | ||||
| Written declination of credit – EM – lender | 
				 | 
				 | Non-form (Business) | 764.352 (e) | 190* | 3.08 | 585 | 30 | 
				 | 293 | ||||
| Documentation of losses of livestock/livestock products | 
 | 
 | Non-form (Farmer) | 764.353, 764.356 | 158 | 1 | 158 | 15 | 
 | 40 | ||||
| EM- repayment ability when security not available | 
				 | 
				 | Non-form (Farmer) | 764.355 (c) | 12 | 1 | 12 | 15 | 
				 | 3 | ||||
| Certificate of title for EM | 
 | 
 | Non-form (Farmer) | 764.355 (3) | 62 | 1 | 62 | 15 | 
 | 16 | ||||
| Circumstances beyond borrower’s control for not completing BT | 
 | 
 | Non-form (Farmer) | 764.454 (a)(2) | 374 | 1 | 374 | 15 | 
 | 94 | ||||
| Vendor application for approval to provide borrower training | 
 | 
 | Non-form (Business) | 764.456 | 34* | 1 | 34 | 990 | 
 | 561 | ||||
| Vendor request to change curriculum, instructor or cost | 
 | 
 | Non-form (Business) | 764.458 (a)(3) | 13 | 1 | 13 | 30 | 
 | 7 | ||||
| SUBTOTALS | 224* | 
				 | 28,866 | 
				 | 
				 | 7,922 | ||||||||
| 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. | 0560-0237 | 2. Title of Clearance | Direct Loan Making Page 10 
 | ||||||||||
| 
				 | 
				 | |||||||||||||
| 
				 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 | ||||
| Vendor revocation of agreement to provide borrower training | 
 | 
 | Non-form (Business) | 764.458 (a)(4) | 13 | 1 | 13 | 15 | 
 | 3 | ||||
| Renewal of vendor approval to provide borrower training | 
 | 
 | Non-form (Business) | 764.458 (b) | 133* | 1 | 133 | 390 | 
 | 865 | ||||
| Vendor evaluation of borrower progress | 
 | 
 | Non-form (Business) | 764.459 | 396 | 6.72 | 2,661 | 30 | 
 | 1,331 | ||||
| RE mortgage/modification agreement | 
				 | 
				 | Non-form (Farmer) | 765.205, 766.106 | 929 | 1 | 929 | 30 | 
				 | 465 | ||||
| Conservation Plan 
 | 
				 | 
				 | Non-form (Farmer) | 764.51(b)(15) | 
				 1,522 | 
				 1 | 
				 1,522 | 
				 15 | 
				 | 
				 381 | ||||
| Transition to Organic/Sustainable | 
				 | 
				 | Non-form (Farmer) | 764.51(b)(16) | 
				 9 | 
				 1 | 
				 9 | 
				 15 | 
				 | 
				 2 | ||||
| Entity information – loan application | 
				 | 
				 | Non-form (Farmer) | 764.51(b)(2) | 650 | 1 | 804 | 15 | 
				 | 202 | ||||
| Documentation other credit is not available – applicant | 
				 | 
				 | Non-form (Farmer) | 764.51(b)(6) | 18,748 | 1 | 18,748 | 60 | 
				 | 18,748 | ||||
| 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | ||||
| Travel time | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 59,110 | ||||
| * Denotes unduplicated respondents | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| (e) denotes electronic submission of collection | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | ||||
| 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | 
				 | ||||
| SUBTOTALS | 133* | 
 | 24,819 | 
				 | 
 | 81,107 | ||||||||
| TOTALS | 182,433* | 
				 | 685,686 | 
				 | 
				 | 345,484 | ||||||||
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | Ball, MaryAnn - FSA, Washington, DC | 
| File Modified | 2016-01-14 | 
| File Created | 2016-01-14 |