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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0560-0165 |
7FR 785 Certified State Mediation Program |
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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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Recertification |
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X |
None Budget analyst |
785.3(b) |
40* |
1 |
40 |
2.5 |
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100 |
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Annual Report |
X |
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None Sec./adm.assist |
785.8(a) |
40 |
1 |
40 |
5 |
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200 |
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Mid-Year report |
X |
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None Sec./adm.assist |
785.8(b) |
40 |
1 |
40 |
2 |
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80 |
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X |
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Request for Advance or Reimbursement Budget analyst |
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x |
SF 270 OMB#4040-0012 |
785.4 |
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Application for Federal Assistance** |
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X |
SF 424 OMB#4040-0004 |
785.4(b) |
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Budget Information Non-construction+ |
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X |
SF 424A OMB#4040-0006 |
785.4 |
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Assurances -Non-Construction** |
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X |
SF 424B OMB#4040-0007 |
785.4 |
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Federal Financial Report*** |
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X |
SF 425 OMB#0348-0061 |
785.4 |
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*Denotes unduplicated respondents |
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** Collection is included in recertification request |
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*** Collection is included in annual report |
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+ Collection included in annual report and recertification |
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TOTALS |
40 |
1.5 |
60 |
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380 |
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| File Type | application/msword |
| File Title | This form is available electronically |
| Author | USDA-MDIOL00000DG8C |
| Last Modified By | SYSTEM |
| File Modified | 2017-10-26 |
| File Created | 2017-10-26 |