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				 REPRODUCE LOCALLY. Include form number and date on all reproductions. | |||||||||
| 
				 FSA-85-1 U.S. Department of Agriculture (05-08-98) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 | |||||||||
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				 1. OMB No. | 
				 2. Title of Clearance | ||||||||
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				 0560-0170 | 
				 7 CFR Part 759, Disaster Assistance General | ||||||||
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				 3. 
				 
				 Description (Title of Form, Report or Record) | 
				 4. 
				 
				 Report 
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				 5. 
				 
				 Record | 
				 6. 
				 
				 Form No. | 
				 7. 
				 
				 Regulation Part/Sec. | 
				 Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) | ||||
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				 8. 
				 No. of Respondents | 
				 9. 
				 No. of Reports Filed Per Person | 
				 10. 
				 Total Annual Responses | 
				 11. 
				 Time to Respond | 
				 12. 
				 Total Burden Hours | |||||
| 
				 Governor’s Letter Requesting Secretarial 
				 
 | 
				 
 | 
				 
 | 
				 Letter | 
				 7 CFR Part 759 | 
				 52 | 
				 2.7 | 143 | 
				 .50 
 | 52 | 
| 
				 Loss Assessment Report | 
				 
 | 
				 
 | 
				 Automated | 7 CFR Part 759 | 
				 297 | 
				 1 | 297 | 
				 .50 | 149 | 
| 
				 Telephone Survey Information | 
				 
 | 
				 
 | 
				 Tel. Survey | 
				 7 CFR Part 759 | 
				 52 | 
				 1 | 52 | 
				 .25 | 13 | 
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				 TOTALS  | 
				 401 | 1.226 | 492 
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| File Type | application/msword | 
| File Title | REPRODUCE LOCALLY | 
| Author | helen smith | 
| Last Modified By | Ball, MaryAnn - FSA, Washington, DC | 
| File Modified | 2017-06-15 | 
| File Created | 2017-06-15 |