INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-1: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. 0563-0053 |
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| Multiple Peril Crop Insurance |
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| DATE PREPARED-8/25/15 |
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| Insurance Sales Agent/Office Clerk |
C05- CIMS Request Record* |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$24.78 |
|
| IT Staff |
P09- Fund Designation Record (per company)* |
NONE |
15 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| Farmer |
P10- Policy Record (Company Application) |
NONE |
139,155 |
1.00 |
139,155 |
0.33 |
45,927 |
0 |
0 |
0 |
$38.43 |
$1,764,975.64 |
| Insurance Sales Agent/Office Clerk |
P10- Policy Record |
NONE |
14,504 |
9.59 |
139,155 |
0.33 |
45,927 |
0 |
0 |
0 |
$24.78 |
$1,138,071.73 |
| Farmer |
P11- Acreage Record (Company Acreage Report) |
NONE |
528,348 |
2.08 |
1,101,519 |
0.75 |
826,139 |
0 |
0 |
0 |
$38.43 |
$31,748,531.38 |
| Insurance Sales Agent/Office Clerk |
P11- Acreage Record |
NONE |
14,504 |
75.95 |
1,101,519 |
0.50 |
550,760 |
0 |
0 |
0 |
$24.78 |
$13,647,820.41 |
| Farmer |
P12- Payment Record |
NONE |
790,915 |
1.00 |
790,915 |
0.10 |
79,092 |
0 |
0 |
0 |
$38.43 |
$3,039,486.35 |
| Accountant |
P12- Payment Record |
NONE |
15 |
52727.67 |
790,915 |
0.10 |
79,092 |
0 |
0 |
0 |
$37.89 |
$2,996,776.94 |
| Farmer |
P13- Inventory Value Record |
NONE |
916 |
1.00 |
916 |
8.00 |
7,328 |
0 |
0 |
0 |
$38.43 |
$281,615.04 |
| Insurance Sales Agent/Office Clerk |
P13- Inventory Value Record |
NONE |
916 |
1.00 |
916 |
0.50 |
458 |
0 |
0 |
0 |
$24.78 |
$11,349.24 |
| IT Staff |
P14- Insurance In Force Record* |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| Farmer |
P15- Yield History Record |
NONE |
528,348 |
2.08 |
1,101,519 |
1.00 |
1,101,519 |
0 |
0 |
0 |
$38.43 |
$42,331,375.17 |
| Insurance Sales Agent/Office Clerk |
P15- Yield History Record |
NONE |
14,504 |
75.95 |
1,101,519 |
1.50 |
1,652,279 |
0 |
0 |
0 |
$24.78 |
$40,943,461.23 |
| Farmer |
P19- WFRP Farm Reports |
NONE |
976 |
1.00 |
976 |
0.25 |
244 |
0 |
0 |
0 |
$38.43 |
$9,376.92 |
| Insurance Sales Agent/Office Clerk |
P19- WFRP Farm Reports |
NONE |
2,486 |
1.00 |
2,486 |
0.25 |
622 |
0 |
0 |
0 |
$24.78 |
$15,400.77 |
| IT Staff |
P20- Loss Total Record * |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| Farmer |
P21- Loss Line Record (Company Claim for Indemnity) |
NONE |
158,504 |
2.08 |
330,455 |
2.50 |
826,137 |
0 |
0 |
0 |
$38.43 |
$31,748,451.26 |
| Insurance Sales Agent/Office Clerk/Claims Adjuster |
P21- Loss Line Record |
NONE |
19,037 |
17.36 |
330,455 |
2.50 |
826,137 |
0 |
0 |
0 |
$27.33 |
$22,578,328.72 |
| Farmer |
P22- Inventory Loss Record |
NONE |
42 |
1.00 |
42 |
2.50 |
105 |
0 |
0 |
0 |
$38.43 |
$4,035.15 |
| Insurance Sales Agent/Office Clerk/Claims Adjuster |
P22- Inventory Loss Record |
NONE |
42 |
1.00 |
42 |
2.50 |
105 |
0 |
0 |
0 |
$27.33 |
$2,869.65 |
| Farmer |
P23- WFRP Indemnity Record |
NONE |
149 |
1.00 |
149 |
0.10 |
15 |
0 |
0 |
0 |
$38.43 |
$572.61 |
| Insurance Sales Agent/Office Clerk/Claims Adjuster |
P23- WFRP Indemnity Record |
NONE |
149 |
1.00 |
149 |
0.10 |
15 |
0 |
0 |
0 |
$27.33 |
$407.22 |
| Farmer |
P26- Production |
NONE |
11,048 |
1.00 |
11,048 |
0.50 |
5,524 |
0 |
0 |
0 |
$38.43 |
$212,287.32 |
| Insurance Sales Agent/Office Clerk |
P26-Production |
NONE |
663 |
1.00 |
663 |
0.50 |
331 |
0 |
0 |
0 |
$24.78 |
$8,213.08 |
| Insurance Sales Agent/Office Clerk |
P27- Land ID Record |
NONE |
14,504 |
32.28 |
468,146 |
1.00 |
468,146 |
0 |
0 |
0 |
$24.78 |
$11,600,647.35 |
| IT Staff |
P48- Delete Record* |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| Insurance Sales Agent/Office Clerk |
P49- Policy Delete Record |
NONE |
110,152 |
1.00 |
110,152 |
0.10 |
11,015 |
0 |
0 |
0 |
$24.78 |
$272,956.66 |
| Insurance Sales Agent/Claims Adjuster |
P51- Conflict of Interest Policy Reporting Record |
NONE |
19,037 |
1.00 |
19,037 |
0.10 |
1,904 |
0 |
0 |
0 |
$32.53 |
$61,927.36 |
| IT Staff |
P54- Agency/Company Employee Data Record* |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| IT Staff |
P55- Agent Data Record* |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| IT Staff |
P56- Loss Adjuster Data Record* |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| Insurance Underwriter |
P57- Quality Control Reporting Record |
NONE |
15 |
1.00 |
15 |
24.00 |
360 |
0 |
0 |
0 |
$36.96 |
$13,305.60 |
| Farmer |
P58- Notice of Loss Reporting Record |
NONE |
158,504 |
2.08 |
330,455 |
0.10 |
33,045 |
0 |
0 |
0 |
$38.43 |
$1,269,938.05 |
| Insurance Sales Agent/Office Clerk |
P58- Notice of Loss Reporting Record |
NONE |
916 |
0.02 |
15 |
0.15 |
2 |
0 |
0 |
0 |
$24.78 |
$55.76 |
| Farmer |
P75- Records Producer Certification |
NONE |
16,604 |
1.00 |
16,604 |
0.30 |
4,981 |
0 |
0 |
0 |
$38.43 |
$191,427.52 |
| Insurance Sales Agent/Office Clerk |
P75- Records Producer Certification |
NONE |
16,604 |
1.00 |
16,604 |
0.30 |
4,981 |
0 |
0 |
0 |
$24.78 |
$123,434.14 |
| IT Staff |
P81- Policy Holder Tracking Experience Inquiry Record* |
NONE |
0 |
0.00 |
0 |
0.00 |
0 |
0 |
0 |
0 |
$54.81 |
$0.00 |
| Insurance Sales Agent/Insurance Underwriter/Farmer/Agricultural Inspector |
Additional information provided as needed |
NONE |
25,000 |
1.00 |
25,000 |
0.33 |
8,250 |
0 |
0 |
0 |
$32.53 |
$268,372.50 |
| Insurance Sales Agent/Insurance Underwriter/Farmer |
Reading insurance documents |
NONE |
554,348 |
1.00 |
554,348 |
0.50 |
277,174 |
0 |
0 |
0 |
$36.01 |
$9,981,035.74 |
| Farmer |
Record retention |
NONE |
528,348 |
2.08 |
1,101,519 |
0.15 |
165,228 |
0 |
0 |
0 |
$38.43 |
$6,349,706.28 |
| Insurance Sales Agent/Claims Adjuster/Farmer |
Travel time |
NONE |
858,803 |
1.00 |
858,803 |
1.00 |
858,803 |
0 |
0 |
0 |
$34.50 |
$29,628,698.88 |
| IT Staff |
Additional burden hours for crop insurance companies to transmit data elements to RMA |
NONE |
1130.78 |
1.00 |
1,131 |
2.50 |
2,827 |
0 |
0 |
0 |
$54.81 |
$154,945.20 |
|
SUBTOTAL |
|
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10,446,340 |
|
7,884,471 |
0 |
|
0 |
1,533 |
252,399,857 |
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TOTAL OF ALL PAGES |
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10,446,340 |
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7,884,471 |
0 |
|
0 |
1,533 |
252,399,857 |
| TOTAL - COLUMNS "G" AND "J" = OMB 831, 13 b; COLUMNS "I" AND "L" = OMB 831, 13c |
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10,446,340 |
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7,884,471 |
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252,399,857 |
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* This is accounted for on line_ "IT Staff" as part of the IT transmittal of data records. |
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| http://www.rma.usda.gov/FTP/Publications/M13_Handbook/2015/draft/ACT_NARR.PDF |
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| Policies Earning Premium |
1,101,519 |
| Companies |
15 |
| Nursery Policies Earning Premium |
916 |
| Active Crop Insurance Agents |
14,504 |
| Active Loss Adjusters |
4,533 |
| Unique Producers |
528,348 |
| Producers with Spring and Fall |
262,567 |
| New Producers |
29,003 |
| PASS Processing Summary Input Records |
2,826,951,243 |
| Beginning Farmer or Rancher |
16,604 |
| Whole Farm Revenue Protection Policies Earning Premium |
2,486 |
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| Estimate of Burden: The public reporting burden for this collection of information are estimated to average of an hour per response. |
0.75 |
| Estimated Annual Number of Respondents: |
547,385 |
| Estimated Annual Number of Responses Per Respondent: |
19.1 |
| Estimated Annual Number of Responses: |
10,446,340 |
| Estimated Total Annual Burden on Respondents: |
7,884,471 |