County Committee Election

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0229 can be found here:

Documents and Forms

Document Name Document Type
Form FSA-669A County Committee Election Form
FSA0669A.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
Spanish Instruction.txt forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Instruction
FSA-669A Nomination Form for County Farm Service Agency (FSA) Com FSA0669A_170321V02.docx forms.sc.egov.usda.gov/eforms/mainservlet Form
FSA-669A (Spanish Nomination Form for County FSA Committee Election FSA0669A_Spanish_140422V01[1].docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Form
FSA-669A-2 Nomination Form for County FSA Committee SDA Appointment FSA0669A-0002_161228V01.docx forms.sc.egov.usda.gov/eforms/mainservlet Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	County Committee Election	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSA-669A	Nomination Form for County Farm Service Agency (FSA) Committee Election	FSA0669A_170321V02.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			FSA0669A.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	FSA-669A (Spanish Form)	Nomination Form for County FSA Committee Election	FSA0669A_Spanish_140422V01[1].docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable
Instruction			Spanish Instruction.txt	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Fileable
Form and Instruction	FSA-669A-2	Nomination Form for County FSA Committee SDA Appointment	FSA0669A-0002_161228V01.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	6,700	6,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.