Information Collection

Cfap

IC 241728 under ICR 202005-0560-002 · OMB 0560-0295.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0295 can be found here:

2020-08-10 - No material or nonsubstantive change to a currently approved collection
2020-07-13 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-3114 CFAP	Form
AD-3114 instruction.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
instruction for CCC-901.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
instruction for CCC-902I.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
instruction for CCC-941.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
instruction for CCC-942.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
Instruction for AD-1026.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
AD-3114 CORONAVIRUS FOOD ASSISTANCE PROGRAM (CFAP) APPLICATION AD-3114-proposal.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form
CCC-901 MEMBER’S INFORMATION 1. CCC-901.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form
CCC902 FARM OPERATING PLAN FOR AN INDIVIDUAL For CCC-902 individual.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form
CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CO CCC-941.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form
CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORES CCC-942.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form
AD-1026 HIGHLY ERODIBLE LAND CONSERVATION (HELC) AND WETLAND CON AD-1026.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form
AD-3114A CORONAVIRUS FOOD ASSISTANCE PROGRAM (CFAP) APPLICATION ( AD-3114A_Continuation_proposal.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

CFAP

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 9

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-3114	CORONAVIRUS FOOD ASSISTANCE PROGRAM (CFAP) APPLICATION	AD-3114-proposal.docx	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Fileable
Instruction			AD-3114 instruction.docx	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only
Form	CCC-901	MEMBERâS INFORMATION 1.	CCC-901.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable
Instruction			instruction for CCC-901.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only
Form	CCC902	FARM OPERATING PLAN FOR AN INDIVIDUAL For	CCC-902 individual.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable
Instruction			instruction for CCC-902I.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only
Form	CCC-941	AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION	CCC-941.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable
Instruction			instruction for CCC-941.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only
Form	CCC-942	CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS	CCC-942.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable
Instruction			instruction for CCC-942.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only
Form	AD-1026	HIGHLY ERODIBLE LAND CONSERVATION (HELC) AND WETLAND CONSERVATION (WC) CERTIFICATION	AD-1026.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable
Instruction			Instruction for AD-1026.pdf	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only
Form	AD-3114A	CORONAVIRUS FOOD ASSISTANCE PROGRAM (CFAP) APPLICATION (Continuation Sheet)	AD-3114A_Continuation_proposal.docx	https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title: Farm Records File (Automated), USDA/FSAâ2

FR Citation: 84 FR 10770

Number of Respondents: 1,630,000

Number of Respondents for Small Entity: 114,100

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 35 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	4,372,000	4,372,000
Annual IC Time Burden (Hours)	3,467,400	3,467,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.