Customer Data Worksheet Request for SCIMS Change

Customer Data Worksheet Request for Business Partner Record Change

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0265 can be found here:

Documents and Forms

Document Name Document Type
Form AD-2047 Customer Data Worksheet Request for SCIMS Change Form
AD2047egov_xx-xx-17V01.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Instruction
AD-2047 CUSTOMER DATA WORKSHEET REQUEST FOR BUSINESS PARTNER REC AD2047_20xxxxV01 p7.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Form

Information Collection (IC) Details

IC Title:	Customer Data Worksheet Request for SCIMS Change	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-2047	CUSTOMER DATA WORKSHEET REQUEST FOR BUSINESS PARTNER RECORD CHANGE	AD2047_20xxxxV01 p7.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Printable
Instruction			AD2047egov_xx-xx-17V01.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: the Farm Records File (Automated)- USDA/FSA–2	FR Citation: 84 FR 10770

Number of Respondents: 109,774	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	109,774	52,848	0	56,926
Annual IC Time Burden (Hours)	5,489	0	-4,189	9,678
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.