FSA-85-1 Reporting and Recordkeeping Requirements

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
								2019 MARKET FACILITATION PROGRAM (2019 MFP)
														DATE PREPARED
														July 11, 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 part 1409	2019 Market Facilitation Program (MFP) Application (New)					CCC-913	780,000	1	780,000	0.25		195,000				$49.87	9,724,650
7 CFR part 1409	2019 Market Facilitation Program (MFP) Application Continuation (New)					CCC-913 Continuation	125,000	1	125,000	0.25		31,250				$49.87	1,558,438
7 CFR part 1400	Farm Operating Plan for Individual or Legal Entity					CCC-902	119,400	1	119,400	1.00		119,400				$49.87	5,954,478
7 CFR part 1400	Average Adjusted Gross Income Statement					CCC-941	390,000	1	390,000	0.50		195,000				$49.87	9,724,650
7 CFR 1437.7(c)	Report of Acreage - Late Filed (OMB 0569-0175)					FSA-578	15,000	1	15,000	0.50		7,500				$49.87	374,025
NOFA	Production Evidence						5,000	1	5,000	0.25		1,250				$49.87	62,338
7 CFR part 1400	Request for an Exception to Average AGI Limitation					CCC-942	11,000	1	11,000	0.08		917				$49.87	45,714
	SF-3881-ACH Vendor/Miscellaneous Payment (OMB control number 1510-0056 and not included the hours )						22,500	1	22,500	0.25	5,625
7 CFR part 2	Highly Erodible Land Conservation (HELC) and Wetland Conservation Certification (exempt from PRA 16 U.S.C. 3846)					AD-1026	119,400	1	119,400	0.50	59,700
	SUBTOTAL								1,445,400		0	550,317			0.00		27,444,292
	TOTAL OF ALL PAGES								1,445,400		0	550,317			0.00		27,444,292
TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c									1,445,400			550,317