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.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
0560-0294 |
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| Wildfires and Hurricanes Indemnity Program + (WHIP+) |
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| DATE PREPARED |
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| August 13, 2019 |
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| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
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RECORDS |
RESPONDENT COST |
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TOTAL BURDEN HOURS |
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TOTAL |
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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. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
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KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
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RESPONDENT |
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EXEMPT |
NON-EXEMPT |
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KEEPER |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
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(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 |
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10,689 |
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$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 |
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1,710 |
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$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 |
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1,307 |
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$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 |
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320 |
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$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 |
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3,063 |
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$49.87 |
152,727 |
| 7 CFR 760.1600 |
On-Farm Storage Loss Certification |
FSA-272 |
5,000 |
1 |
5,000 |
0.25 |
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1,250 |
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$49.87 |
62,338 |
| 7 CFR 760.1700 |
WHIP Milk Loss Application |
FSA-375 |
200 |
1 |
200 |
0.33 |
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66 |
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$49.87 |
3,291 |
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Farm Operating Plan for Payment Eligibly |
CCC-902 |
3,000 |
1 |
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0.50 |
1,500 |
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0 |
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Highly Erodible Lan Conservation (HELC) and Wetland Conservation Certification |
AD-1026 |
3,000 |
1 |
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0.08 |
1,500 |
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0 |
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Report of Acreage |
FSA-578 |
4,000 |
1 |
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0.50 |
2,000 |
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0 |
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Tree Assistance Application |
FSA-899 |
4,000 |
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0.25 |
1,000 |
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| 7 CFR 460 |
Agreement (AIP and RMA.) |
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14 |
1 |
14 |
0.08 |
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1 |
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SUBTOTAL |
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80,552 |
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6,000 |
18,405 |
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0.00 |
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917,822 |
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TOTAL OF ALL PAGES |
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80,552 |
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6,000 |
18,405 |
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0.00 |
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917,822 |
| TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c |
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80,552 |
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18,405 |
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