Information Collection

Hawaii Crop or Livestock Loss Survey

IC 235623 under ICR 201902-0535-003 · OMB 0535-0264.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0264 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form QID Hawaii Crop or Livestock Loss Survey	Form and Instruction
Non_Response_Reply.docx	Other-Non-response statement
QID Hawaii Crop or Livestock Loss Survey 0264 - 2018 Hawaii Crop or Livestock Loss Survey - March 12, 2019.pdf	Form and Instruction
0264 - Hawaii Crop or Livestock Loss Survey - SSA - 2019Apr08.docx Supporting Statement A - Hawaii Crop or Livestock Loss Survey	IC Document
0264 - Hawaii Crop or Livestock Loss Survey - SSB - 2019Apr08.docx Supporting Statement B - Hawaii Crop or Livestock Loss Survey	IC Document

IC Title:

Hawaii Crop or Livestock Loss Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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 and Instruction	QID	Hawaii Crop or Livestock Loss Survey	0264 - 2018 Hawaii Crop or Livestock Loss Survey - March 12, 2019.pdf		Yes	Yes	Fillable Fileable
Other-Non-response statement			Non_Response_Reply.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title: SORN

FR Citation: 74 FR 79

Number of Respondents: 1,000

Number of Respondents for Small Entity: 850

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	213	213
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - Hawaii Crop or Livestock Loss Survey	0264 - Hawaii Crop or Livestock Loss Survey - SSA - 2019Apr08.docx	04/09/2019
Supporting Statement B - Hawaii Crop or Livestock Loss Survey	0264 - Hawaii Crop or Livestock Loss Survey - SSB - 2019Apr08.docx	04/09/2019

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