FSA-85-1-Reporting and Recordkeeping Requirements

This form is available electronically.

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 