FSA-85-1-Reporting and Recordkeeping Requirements

FSA0085-0001.1(2014).doc

Warehouse Regulations Under the United States Warehouse Act

FSA-85-1-Reporting and Recordkeeping Requirements

OMB: 0581-0305

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FSA-85-1 U.S. Department of Agriculture

(03-26-03) Farm Service Agency


Reporting and Recordkeeping Requirements




1. OMB No.

2. Title of Clearance

0560-0120

Reporting Requirements Under U.S. Warehouse Act

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

Item 1-Application for License or Modification of License for the Conduct of a Public Warehouse

x

 

WA-50

735

500



1

500

.08

     

40

Item 2-Financial Statement-Warehouse Operator's Report of Assets

x

 

WA-51-2

735

1423




3000

1

3000

.75

     

2250 

     

 

 

     

1427.1081

     

     

     

     

     

     

Item 3-Applicaton for a License to Inspect, Classify, Sample, and/or Weigh Warehouse Commodities

x

 

WA-53

735

2100

1

2100

.25

     

525

Item 4-Bond to Cover Lost Paper Warehouse Receipts Under the United States Warehouse Act

x

 

WA-62

735

20

Occas.

20

.50

     

10

Item 5 - Warehouse Operator to Submit Names & Signatures of Persons Authorized to Sign Receipts

x

 

WA-70

735

1000

Occas.

1000

.25

     

250

Item 6-Warehouse Operator's Bond & Related Forms

x

 

WA-80



735

204



1

204

.25

     

51

     

 

 

WA-81,82,83,84

85,87,88,89,90



     

 10 (Each)



1(each)



100



.25



     

25

     

 

 

91

     

 





     

     

     

     

Item 7 -Returned and Destroyed Receipt Record

x

 

WA-105

735

100

1

100

.25

     

25

Item 8-Memorandum of Adjustments



x

 

WA-125

735

1423.9



700

Occas.

700

.50

     

350

Memorandum of Adjustments-Electronic Response

x

 

WA-125ER

1427.1082

1427.1084

20

Occas.

20

.50

     

10

     

 

 

     

     

     

     

     

     

     

     

TOTALS

     

     

     


     

     


File Typeapplication/msword
File TitleThis form is available electronically
AuthorUSDA-MDIOL00000DG8C
Last Modified ByFry, Judy - FSA, Washington, DC
File Modified2014-09-03
File Created2014-09-03

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