Assignments of Payments and Joint Payment Authorization

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CCC-36 Revised Assignment of Payment	Form	Modified	Available
Form CCC-40 REQUEST FOR FSA AND NRCS PAYMENTS OF FEDERAL BENEFITS BY CHECK (Request for Waiver)	Form	Modified	Available
Form CCC-37 (Spanish) Joint Payment Authorization	Form	Modified	Available
Form CCC-36 (Spanish) Assignment of Payment	Form	Modified	Available
Form CCC-37 Joint Payment Authorization	Form	Modified	Available
Form CCC-251 Notice of Assignment	Form	Modified	Available
Form CCC-252 Instrument of Assignment	Form	Modified	Available
Justification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-03-16	Available
2018 Supporting Statement.docx	Supporting Statement A	Uploaded 2018-07-19	Available
FSA-85-1 Reporting and Recordkeeping Requirements .doc	Supplementary Document	Uploaded 2018-07-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Assignment of Payment
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	REQUEST FOR FSA AND NRCS PAYMENTS OF FEDERAL BENEFITS BY CHECK (Request for Waiver)
1475	Assignments of Payments and Joint Payment Authorization	Instruction	Modified
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Joint Payment Authorization
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Assignment of Payment
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Joint Payment Authorization
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Notice of Assignment
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Instrument of Assignment

ICR Details

OMB Control No: 0560-0183	ICR Reference No: 202003-0560-001
Status: Historical Active	Previous ICR Reference No: 201711-0560-001
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Assignments of Payments and Joint Payment Authorization
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/31/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/16/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	08/31/2021	08/31/2021
Responses	126,542	0	126,542
Time Burden (Hours)	21,083	0	21,083
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection is to allow farmers or individuals to voluntarily assign their payment to a third party.

---

Authorizing Statute(s): US Code: 16 USC 590h (g) Name of Law: The Soil Conservation and Domestic Allotment Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 13944	04/02/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 34981	07/24/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Assignments of Payments and Joint Payment Authorization	CCC-40, CCC-36 Revised , CCC-37, CCC-251, CCC-252, CCC-36 (Spanish), CCC-37 (Spanish)	Notice of Assignment ,   Instrument of Assignment ,   Joint Payment Authorization ,   Assignment of Payment ,   Joint Payment Authorization ,   REQUEST FOR FSA AND NRCS PAYMENTS OF FEDERAL BENEFITS BY CHECK (Request for Waiver) ,   Assignment of Payment

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	126,542	126,542	0	0	0	0
Annual Time Burden (Hours)	21,083	21,083	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The program changes are +7,603 burden hours while adjustments are +2,478 hours. Program changes: The new form FSA-40 is added to the collection that increases +3,600 respondents/responses and +600 burden hours. Also, the use of form CCC-36 was revised to add NRCS participants that increases +42,020 respondents/responses and +7,003 hours. Adjustments: The decrease of -240 respondents and -30 burden hours is an adjustment due fewer respondents using the forms CCC-251 and 252. More respondents are using CCC-37 that increasing burden hours by +2,508 and +15,052 respondents/responses in this request.

---

Annual Cost to Federal Government: $190,664

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/16/2020

---