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Cfap
Coronavirus Food Assistance Program (CFAP)
OMB: 0560-0295
IC ID: 241728
OMB.report
USDA/FSA
OMB 0560-0295
ICR 202007-0560-002
IC 241728
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
Form AD-3114
CFAP
Form
AD3114_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
AD3114A_instruction Continuation (1).docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
AD-3114 CORONAVIRUS FOOD ASSISTANCE PROGRAM (CFAP) APPLICATION
AD-3114 CFAP Application .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 (
AD3114A_Continuation_1.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:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 9
Information Collection 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 CFAP Application .docx
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Fillable Fileable
Instruction
AD3114_instruction .docx
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Printable Only
Form
CCC-901
MEMBER’S 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)
AD3114A_Continuation_1.docx
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
Yes
Fillable Fileable
Instruction
AD3114A_instruction Continuation (1).docx
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Printable Only
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/FSA–2
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,372,000
0
0
0
0
4,372,000
Annual IC Time Burden (Hours)
3,467,400
0
0
0
0
3,467,400
Annual IC Cost Burden (Dollars)
0
0
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.