Information Collection

Representation for CCC and FSA Loans and Authorization to File a Financing Statement

IC 1534 under ICR 201712-0560-001 · OMB 0560-0215.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0215 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Form
CCC0010egov_xx-xx-18V01.docx forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC-10 Representation for Commodity Credit Corporation or Farm CCC0010_18xxxxV01.docx forms.sc.egov.usda.gov/eforms/mainservlet	Form

IC Title:

Representation for CCC and FSA Loans and Authorization to File a Financing Statement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CCC-10	Representation for Commodity Credit Corporation or Farm Service Agency Loans and Authorization to File a Financing Statement and Related Documents	CCC0010_18xxxxV01.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Instruction			CCC0010egov_xx-xx-18V01.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,434

Number of Respondents for Small Entity: 900

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 4 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,434	0	360	1,074
Annual IC Time Burden (Hours)	119	-1,014	-30	1,163
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
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.