FSA-85-1 Reporting and Recordkeeping Requirements

FSA-85-1 WHIP+ 2019.xlsm

Wildfires and Hurricanes Indemnity Program Pluses (WHIP+)

FSA-85-1 Reporting and Recordkeeping Requirements

OMB: 0560-0294

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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-I: 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.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 0560-NEW










Wildfires and Hurricanes Indemnity Program + (WHIP+)



DATE PREPARED


August 13, 2019











IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN











REPORTS
RECORDS RESPONDENT COST



















TOTAL BURDEN HOURS

TOTAL







FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS (Col. F x G) NO. OF ANNUAL RECORD- COST TOTAL
SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER (H) RECORD- HOURS PER KEEPING HOURS PER COST
REGS.




so state)
PER (Col. D x E) RESPONSE

KEEPERS RECORD- (Col. I x J) HOUR (Col. H x L)








RESPONDENT

EXEMPT NON-EXEMPT
KEEPER


(A) (B) (C) (D) (E) (F) (G)

(I) (J) (K) (L) (M)
7 CFR 760 and 1410 Wildfires and Hurricanes Indemnity Program + Application FSA-894 21,378 1 21,378 0.50
10,689


$49.87 533,060
7 CFR 760 and 1410 Crop Insurance and/or NAP Coverage Agreement FSA-895 21,378 1 21,378 0.08
1,710


$49.87 85,290
7 CFR 760 and 1410 Request for an Exception to the WHIP+ Payment Limitation of $125,000, WHIP+ ONLY FSA-896 16,332 1 16,332 0.08
1,307


$49.87 65,158
7 CFR 760 and 1410 Actual Production History and Approved Yield Record (WHIP+ Select Crops Only) FSA-897 4,000 1 4,000 0.08
320


$49.87 15,958
7 CFR 760 and 1410 Wildfires and Hurricanes Indemnity Program Application (Continuation Sheet) FSA-894 Continuation 5,000 1 12,250 0.25
3,063


$49.87 152,727
7 CFR 760.1600 On-Farm Storage Loss Certification FSA-272 5,000 1 5,000 0.25
1,250


$49.87 62,338
7 CFR 760.1700 WHIP Milk Loss Application FSA-375 200 1 200 0.33
66


$49.87 3,291

Farm Operating Plan for Payment Eligibly CCC-902 3,000 1
0.50 1,500




0

Highly Erodible Lan Conservation (HELC) and Wetland Conservation Certification AD-1026 3,000 1
0.08 1,500




0

Report of Acreage FSA-578 4,000 1
0.50 2,000




0

Tree Assistance Application FSA-899 4,000

0.25 1,000





7 CFR 460 Agreement (AIP and RMA.)
14 1 14 0.08
1





SUBTOTAL


80,552
6,000 18,405

0.00
917,822

TOTAL OF ALL PAGES


80,552
6,000 18,405

0.00
917,822
TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c


80,552

18,405




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