This form is available electronically. |
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FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency
Reporting and Recordkeeping Requirements
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1. OMB No. |
2. Title of Clearance |
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0560-0190 |
Power of Attorney Form and Signature Continution Sheet |
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3. |
4. |
5. |
6. |
7. |
Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12) |
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Description (Title of Form, Report or Record) |
Report |
Record |
Form No. |
Regulation Part/Sec. |
8. |
9. |
10. |
11. |
12. Total Burden Hours |
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No. of Respondents |
No. of Reports Filed Per Person |
Total Annual Responses |
Average Time to Respond |
Exempt |
Non-Exempt |
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Power of Attorney |
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FSA-211 |
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51360 |
1 |
51360 |
15 min |
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12840 |
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Power of Attorney Signature Continution Sheet |
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FSA-211A |
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225 |
1 |
225 |
15 min |
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56 |
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Travel Time 1 Hour |
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1 hour |
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51360 |
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TOTALS |
51585 |
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51585 |
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64256 |
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| File Type | application/msword |
| File Title | This form is available electronically |
| Author | USDA-MDIOL00000DG8C |
| Last Modified By | Ball, MaryAnn - FSA, Washington, DC |
| File Modified | 2017-04-17 |
| File Created | 2017-04-17 |