FSA-85-1 Reporting and Recordkeeping Requirements

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 1 12/04/2018

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Request for loan making assist. /LM individuals & married app.

 

 

FSA-2001 (Farmer)

764.51(b) 767.151

26,125* 125(e)*

.751

19,620

30

     

9,810

Request for loan making assist. /LM - entity

 

 

FSA-2001 (Farmer)

764.51(b)767.151

7,429*

.333

2,395

60

     

2,395

Request for loan making assist. subordin individuals & married

 

 

FSA-2001 (Farmer)

765.205 (a)(1)

10,785*

.751

7,979

30

     

3,990

Request for loan making assist. /subordination - entity

 

 

FSA-2001 (Farmer)

765.205 (a)(1)

2,483*

.333

865

60

     

865

Request for loan making assist. /transfer and assumption (ind.)

FSA-2001 (Farmer)

765.403 (a)(1)

923*

.751

692

30

347

Request for loan making assist. /transfer and assumption (ent)

FSA-2001 (Farmer)

765.403 (a)(1)

232*

.333

84

60

78

Request for loan making assist. /PLS - individuals & married

 

 

FSA-2001 (Farmer)

766.102 (a)(2)

4,351*

.751

3,301

30

     

1,651

Request for loan making assist. /PLS - entity

 

 

FSA-2001 (Farmer)

766.102 (a)(2)

1,022*

.333

350

60

     

350

Request for loan making assist. /SA individuals & married app.

 

 

FSA-2001 (Farmer)

766.204 (a)(2)

82*

.751

62

30

     

32

Request for loan making assist. SA - entity

 

 

FSA-2001 (Farmer)

766.204 (a)(2)

18*

.333

6

60

     

6

Three-Year Financial History - new applicants

 

 

FSA-2002 (Farmer)

764.51 (b)(4)

9,545

1

9,545

60

     

9,545

Three-Year Financial History - existing aplicants

 

 

FSA-2002 (Farmer)

764.51 (b)(4)

4,896

1

4,896

30

     

2,448

Three-Year Financial History - FSFL

 

 

FSA-2002 (Farmer)

1436.4

285 N/A

1

285 N/A

30

146

0

Three-Year Financial History - PLS

 

 

FSA-2002 (Farmer)

766.102 (a)(3)

1,254

1

1,254

30

     

627

Three-Year Production History - new applicants

 

 

FSA-2003 (Farmer)

764.51 (b)(5)

9,601

1

9,601

60

     

9,601

Three-Year Production History - existing applicants

FSA-2003 (Farmer)

761.104 764.51

4,896

1

4,896

30

2,448

Three-Year Production History - FSFL

FSA-2003 (Farmer)

1436.4

250 N/A

1

250 N/A

30

146

0

SUBTOTALS 

53,453*

     

65,546

292

44,193

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 2

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Three-Year Production History - PLS

 

 

FSA-2003 (Farmer)

766.102 (a)(2)

1,242

1

1,242

30

     

621

Authorization to release information - LM application

 

 

FSA-2004 (Farmer)

764.51(b)

19,622

1

19,622

10

     

3,407

Authorization to release information - subordination

 

 

FSA-2004 (Farmer)

765.205 (a)(6)

8,653

1

8,653

10

     

1,442

Authorization to release info -transfer & assumpion 

 

 

FSA-2004 (Farmer)

765.404 (b)(1)

783

1

783

10

     

174

Authorization to release information - debt settlement

 

 

FSA-2004 (Farmer)

1956.66

2652

1

2,652

10

     

325

Authorization to release information - FSFL

 

 

FSA-2004 (Farmer)

1436.4

1,500 N/A

1

1,500 N/A

10

250

0

Authorization to release information - PLS

 

 

FSA-2004 (Farmer)

766.102 (a)(6)

3,560

1

3,560

10

     

178

Authorization to release info - homestead protection

 

 

FSA-2004 (Farmer)

766.152 (b)(5)

22

1

22

10

     

4

Authorization to release information - SA amortization

 

 

FSA-2004 (Farmer)

766.204 (a)(2)

68

1

68

10

     

11

Creditor list - loan making

 

 

FSA-2005 (Farmer)

764.51(b)(12)

19,622

1

19,622

20

     

6,814

Creditor list - subordination 

 

 

FSA-2005 (Farmer)

765.205 (a)(6)

8,652

1

8,652

20

     

2,884

Creditor list - transfer and assumption - ineligible

 

 

FSA-2005 (Farmer)

765.404 (b)(1)

705

1

705

20

     

141

Creditor list - PLS

 

 

FSA-2005 (Farmer)

766.102 (a)

3,546

1

3,546

20

     

709

Creditor list - homestead protection

 

 

FSA-2005 (Farmer)

766.151 (a)(3)

22

1

22

20

     

7

Creditor list - SA amortization

 

 

FSA-2005 (Farmer)

766.204 (a)(2)

68

1

68

20

     

23

Property Owned and Leased - loan making

 

 

FSA-2006 (Farmer)

764.51(b) 764.402

20,269

1

20,269

30

     

10,135

SUBTOTALS 

0*

     

89,486

250

26,875

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 3

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Property Owned and Leased - subordination

 

 

FSA-2006 (Farmer)

765.205 (a)(2)

8,658

1

8,658

30

     

4,329

Property Owned and Leased - PLS

 

 

FSA-2006 (Farmer)

766.102 (a)(7)

3,546

1

3,546

30

     

1,773

Property Owned and Leased - SA amortization

 

 

FSA-2006 (Farmer)

766.204 (a)(2)

74

1

74

30

     

37

Statement required by the Privacy Act

FSA-2007 (Farmer)

764.402

920*

1

920

15

230

Verification of income - loan making

 

 

FSA-2014 (Business)

764.51 (b)(8)

19,589*

1

19,589

15

     

2,938

Verification of income - subordination

 

 

FSA-2014 (Business)

765.205 (a)(4)

6,724*

1

6,724

15

     

1,009

Verification. of income - transfr & assmptn - ineligible

 

 

FSA-2014 (Business)

765.404 (b)(1)

164*

1

164

15

     

25

Verification of income - PLS

 

 

FSA-2014 (Business)

766.102 (a)(6)

2,759*

1

2,759

15

     

414

Verification of income - homestead protection

 

 

FSA-2014 (Business)

766.151 (b)(5)

19*

1

19

15

     

5

Verification of income - SA amortization

 

 

FSA-2014 (Business)

766.204 (a)(2)

51*

1

51

15

     

13

Verification of debts and assets - debt settlement

 

 

FSA-2015 (Business)

1956.66

4,225*

3

12,803

20

     

2,561

Verification of debts and assets - FSFL

 

 

FSA-2015 (Business)

1436.5(a) (1)

2,800* N/A

3

8,400 N/A

20

2800

0

Verification of debts and assets - loan making - OL & EM

 

 

FSA-2015 (Business)

764.51 (b)(12)

34,501*

3

103,050

20

     

20,670

Verification of debts and assets - loan making - FO

 

 

FSA-2015 (Business)

764.51 (b)(12)

4,332*

3

13,003

20

     

2,601

SUBTOTALS 

70,284*

171,360

     2800

36,645

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 4

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Verification of debts and assets - youth loans

 

 

FSA-2015 (Business)

764.51 (d)(2)

435*

3

1,303

20

     

261

Verification of debts and assets - subordination

 

 

FSA-2015 (Business)

765.205 (a)(6)

13,898*

3

41,650

20

     

8,330

Verification of debts and assets - transfer & assumption

 

 

FSA-2015 (Business)

765.404 (b)(1)

298*

3

894

20

     

298

Verification of debts and assets - PLS

 

 

FSA-2015 (Business)

766.102 (a)(8)

5,355*

3

15,971

20

     

3,194

Verification of debts and assets - SA amortization

 

 

FSA-2015 (Business)

766.204 (a)(2)

107*

3

321

20

     

107

Verification of debts and assets - voluntary conveyance

 

 

FSA-2015 (Business)

766.353 (a)

30*

3

90

20

     

30

Promissory note - individual 

 

 

FSA-2026 (Farmer)

764.402 (a)(1)

23,202

1

23,202

20

     

4,640

Promissory note - entity members

 

 

FSA-2026 (Farmer)

764.402 (a)(1)

6,451

1

6,451

20

     

1,290

Promissory note - PLS - individual

 

 

FSA-2026 (Farmer)

766.106 766.204

2,615

1

2,615

20

     

523

Promissory note - PLS - entity members

 

 

FSA-2026 (Farmer)

766.106 766.204

835

1

835

20

     

167

Promissory note - cosigner

 

 

FSA-2026 (Farmer)

764.402 (a)(4)

222

1

222

20

     

44

Supplemental payment agreement

 

 

FSA-2027 (Farmer)

764.254 766.109

656

1

656

15

     

165

Security agreement - youth (lien on products financed)

 

 

FSA-2028 (Farmer)

764.305

3,989

1

3,989

20

     

798

Security agreement - pledge of third party

 

 

FSA-2028 (Farmer)

764.103 (b)(1)

413

1

413

20

     

83

Security agreement - 150 percent requirement

 

 

FSA-2028 (Farmer)

764.103 (c)

1,209

1

1,209

20

     

403

Security agreement - lien on non-essential assets

 

 

FSA-2028 (Farmer)

764.103 (c)

162

1

162

20

     

33

SUBTOTALS 

20,123*

     

99,986

     

20,362

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 5

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Security agreement - OL lien on property financed

 

 

FSA-2028 (Farmer)

764.255 (b)

15,325

1

15,325

20

     

3,065

Security agreement - add livestock when crops to be fed

 

 

FSA-2028 (Farmer)

765.303 (a)(4)

2,377

1

2,377

20

     

475

Security agreement - lien on new property in exchange 

 

 

FSA-2028 (Farmer)

765.303 (c)(2)

4,431

1

4,431

20

     

886

Security agreement - Delinquent DSA lien on all assets

 

 

FSA-2028 (Farmer)

766.56

133

1

133

20

     

44

Security agreement - PLS lien on all assets

 

 

FSA-2028 (Farmer)

766.112 (a)

343

1

343

20

     

114

Security agreement - SA amortization lien on all assets

 

 

FSA-2028 (Farmer)

766.204 (a)(5)

67

1

67

20

     

22

RE mortgage/deed of trust -pledge from 3rd party

 

 

FSA-2029M/2029D (Farmer)

764.103 (b)(1)

207

1

207

30

     

104

RE mortgage/deed of trust -150% requirement 

 

 

FSA-2029M/2029D (Farmer)

764.103 (c)

7,712

1

7,712

30

     

3,856

RE mortgage/deed of trust - lien on nonessential assets

 

 

FSA-2029M/2029D (Farmer)

764.103 (e)

595

1

595

30

     

298

RE mortgage/deed of trust - RE financed w/ FO funds

 

 

FSA-2029M/2029D (Farmer)

764.155 (b)

3,045

1

3,045

30

     

1,523

RE mortgage/deed of trust - RE financed w/ BFDP funds

 

 

FSA-2029M/2029D (Farmer)

764.205 (b)

156

1

156

30

     

78

RE mortgage/deed of trust EM physical loss

 

 

FSA-2029M/2029D (Farmer)

764.353 (c)

154

1

154

30

     

79

RE mortgage/deed of trust - subordination w/purchase

 

 

FSA-2029M/2029D (Farmer)

765.205 (b)

224

1

224

30

     

112

RE mortgage/deed of trust - proceeds used to develop

 

 

FSA-2029M/2029D (Farmer)

765.352 (a)

82

1

82

30

     

41

RE mortgage/deed of trust - delinquent DSA lien on assets

 

 

FSA-2029M/2029D (Farmer)

766.56

54

1

54

30

     

27

RE mortgage/deed of trust - PLS lien on all assets

 

 

FSA-2029M/2029D (Farmer)

766.112 (a)

730

1

730

30

     

365

SUBTOTALS 

0*

     

35,635

     

11,089

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 6

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

RE mortgage/deed of trust - SA amortization lien on all assets

 

 

FSA-2029M/2029D (Farmer)

766.204 (a)

72

1

72

30

36

Assignment of proceeds & consent to payment - applicant

 

 

FSA-2041, FSA-2042 (Farmer)

764.402 765.303

7,062

1

7,062

20

     

1,412

Assignment of proceeds & consent to payment - purchaser

 

 

FSA-2041, FSA-2042 (Business)

764.402 765.303

2,341*

3

7,023

20

     

2,336

Assignment of dairy proceeds- applicant

 

 

FSA-2043 (Farmer)

764.402

3,345

1

3,345

20

     

669

Assignment of dairy proceeds - purchaser

 

 

FSA-2043 (Business)

764.402

1,105*

3

3,315

20

     

1,105

Assignment of income (includes mineral leases)

 

 

FSA-2044 (Farmer)

764.402 765.252

1,995

1

1,995

20

     

320

Request for youth loan - applicant

 

 

FSA-2301 (Farmer)

764.51 

4,410*

1

4,410

30

     

2,205

Request for youth loan - advisor

 

 

FSA-2301 (Farmer)

764.302 (e)

2,652*

1.62

4,296

10

     

716

Request for youth loan - parent/guardian

 

 

FSA-2301 (Farmer)

764.302 (f)

4,044*

1

4,044

10

     

674

Description of farm training and experience

 

 

FSA-2302 (Farmer)

764.51(b)(3)

11,330

1

11,330

20

     

2,266

Certification of disaster losses

 

 

FSA-2309 (Farmer)

764.51 (b)(14)

1,361

1

1,361

90

     

2,042

Lender's verification of loan application - individual

 

 

FSA-2310 (Farmer)

764.352 (e)

1,232

1

1,232

5

     

103

Lender's verification of loan application - entity members

 

 

FSA-2310 (Farmer)

764.352 (e)

379

1

379

5

     

32

Lender's verification of loan application - lender

 

 

FSA-2310 Business

764.352 (e)

877*

2

1,806

30

     

903

Notification of loan approval and conditions

 

 

FSA-2313 (Farmer)

764.401 (a)

26,350

1

26,350

20

     

5,270

Request for Streamlined loan making assist./LM - Individual

 

 

FSA-2314 (Farmer)

764.51(c)

5,000*

.756

3,910

30

     

1,855

SUBTOTALS 

20,429*

81,930

     

21,946

This form is available electronically.

FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements

1. OMB No.

0560-0237

2. Title of Clearance

Direct Loan Making Page 7

3.

4.

5.

6.

7.

Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)

Description (Title of Form, Report or Record)

Report

Record

Form No.

Regulation Part/Sec.

8.

9.

10.

11.

12. Total Burden Hours

No. of Respondents

No. of Reports Filed Per Person

Total Annual Responses

Average Time to Respond

Exempt

Non-Exempt

Request for Streamlined loan making assist./LM - Entity

 

 

FSA-2314 (Farmer)

764.51(c)

< 14*

.333

< 14

60

     

0

Consent and subordination - applicant

 

 

FSA-2317 (Farmer)

764.255 (b)

192

1

192

15

     

29

Consent and subordination - lender

 

 

FSA-2317 (Business)

764.255 (b)

194*

1

194

15

     

29

Agreement for disposition of jointly-owned property

 

 

FSA-2318 (Farmer)

764.402 (c)

118

1

118

10

     

20

Agreement with prior lienholder

 

 

FSA-2319 (Business)

764.104 (a)(2)

1,535*

1

1,535

10

     

156

Agreement with prior lienholder - FSFL

 

 

FSA-2319 (Business)

1436.8

800* N/A

1

800 N/A

10

133

0

Property insurance mortgage clause

FSA-2320/Non-form (Business)

764.108

12*

1

12

10

2

Request for loan making assist. /LM individuals and married app

FSA-2330 (Farmer)

764.51(c)

5,593* 19(e)*

.751

4,215

90

6,323

Request for loan making assist/ LM - entity LM

FSA-2330 (Farmer)

764.51(c)

<10

.333

<10

120

0

Selection of attorney/title agent

 

 

FSA-2340 (Farmer)

764.402 765.205

4,833

1

4,833

10

     

483

Certification of attorney/title company

 

 

FSA-2341, FSA-2342 (Business)

764.402 765.205

2,850*

1

2,850

20

     

570

Preliminary title opinion

 

 

FSA-2344 (Business)

764.402 765.205

2,725

1.49

3,643

90

     

5,465

Loan closing instructions

 

 

FSA-2350 (Business)

764.402

2,455

1.49

3,658

30

     

1,829

Certification of improvement of property

 

 

FSA-2351 (Farmer)

764.402 765.205

491*

1

491

10

     

49

Final title opinion

 

 

FSA-2352 (Business)

764.402 765.205

2,445

1.49

3,643

30

     

1,822

Report of lien search

 

 

FSA-2360 (Business)

764.402

607*

1

607

30

     

304

SUBTOTALS 

12,082*

     

26,015

133

17,081

This form is available electronically.
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements						1. OMB No.		0560-0237		2. Title of Clearance		Direct Loan Making Page 8
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.		9.		10.		11.		12. Total Burden Hours
					No. of Respondents		No. of Reports Filed Per Person		Total Annual Responses		Average Time to Respond		Exempt	Non-Exempt
Report of lien search - FSFL	 	 	FSA-2360 (Business)	1436.8	1,500* N/A		1		1,500 N/A		30		750	0
Subordination to the Government	 	 	FSA-2361 (Business)	764.255	545*		1		545		30		     	273
Request for waiver of borrower training requirements	 	 	FSA-2370 (Farmer)	764.453	9,323		1		9,323		30		     	4,677
Agreement to complete training	 	 	FSA-2371 (Farmer)	764.452	8,306		1		8,306		15		     	1,246
Agreement to conduct production financial training	 	 	FSA-2375 (Business)	764.458	145*		1		133		10		     	22
Borrower training course evaluation - borrower	 	 	FSA-2376 (Farmer)	764.454	3,972		1		3,972		15		     	993
Borrower training course evaluation - vendor	 	 	FSA-2376 (Business)	764.454	356		10.39		3,664		30		     	1,832
Documentation other credit is not available – lender			Non-form (Business)	764.51(b)(6)	5,946*		3.14		18,670		60			18,670
Copy of legal description of RE to purchase, leases, agreements			Non-form (Farmer)	764.51(b)(10)	13,560		1		13,560		15			3,390
Information needed to evaluate application			Non-form (Farmer)	764.51(b)(13)	1,255		1		1,255		15			314
Request to keep application active (funds not available)			Non-form (Farmer)	764.53(e)	28		1		28		10			5
Citizenship status documentation			Non-form (Farmer)	764.101 (c)	22		1		22		15			6
Contract for sale – agreement to use insurance proceeds	 	 	Non-form (Farmer)	764.104 (b)(2)	19		1		19		15		     	5
Purchase contract holder agreement	 	 	Non-form (Business)	764.104 (b)(5)	19		1		19		15		     	5
Request to BIA to provide title status report	 	 	Non-form (Farmer)	764.104 (c)	12		1		12		30		     	6
Evidence of hazard insurance	 	 	Non-form (Farmer)	764.108	12,454		1		12,454		15		     	3,114
SUBTOTALS 					8,136*		     		73,482				750	34,558

This form is available electronically.
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements						1. OMB No.		0560-0237		2. Title of Clearance		Direct Loan Making Page 9
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.		9.		10.		11.		12. Total Burden Hours
					No. of Respondents		No. of Reports Filed Per Person		Total Annual Responses		Average Time to Respond		Exempt	Non-Exempt
Evidence of flood insurance	 	 	Non-form (Farmer)	764.108	11,500		1		11,500		15		     	1,725
Evidence of crop insurance	 	 	Non-form (Farmer)	764.108	15,150		1		15,150		15		     	2,273
Waiver of eligibility for emergency crop loss assistance			Non-form (Farmer)	764.108 (d)	545		1		545		15			136
Evidence to refinance bridge FO loan			Non-form (Farmer)	764.151 (e)	104		1		104		15			16
Obtaining branded livestock and feeder cattle agreement			Non-form (Farmer)	764.255	347		1		347		15			53
Lien on motor vehicles			Non-form (Farmer)	764.255	69		1		69		15			11
EM RE purposes - lease exceeds loan term	 	 	Non-form (Farmer)	764.352 (c)	12		1		12		15		     	3
EM RE purposes - notification of lease's expiration	 	 	Non-form (Farmer)	764.352 (c)	<10		1		<10		15		     	0
Written declination of credit – EM applicants			Non-form (Farmer)	764.352 (e)	292		2		584		15			146
Written declination of credit – EM – lender			Non-form (Business)	764.352 (e)	190*		3.08		585		30			293
Documentation of losses of livestock/livestock products	 	 	Non-form (Farmer)	764.353, 764.356	172		1		172		15		     	26
EM- repayment ability when security not available			Non-form (Farmer)	764.355 (c)	12		1		12		15			3
Certificate of title for EM	 	 	Non-form (Farmer)	764.355 (3)	62		1		62		15		     	16
Circumstances beyond borrower’s control for not completing BT	 	 	Non-form (Farmer)	764.454 (a)(2)	390		1		390		15		     	59
Vendor application for approval to provide borrower training	 	 	Non-form (Business)	764.456	41*		1		41		990		     	410
Vendor request to change curriculum, instructor or cost	 	 	Non-form (Business)	764.458 (a)(3)	16		1		16		30		     	8
SUBTOTALS					231*				29,599					5,178

This form is available electronically.
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency Reporting and Recordkeeping Requirements						1. OMB No.		0560-0237		2. Title of Clearance		Direct Loan Making Page 10
3.	4.	5.	6.	7.	Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)
Description (Title of Form, Report or Record)	Report	Record	Form No.	Regulation Part/Sec.	8.		9.		10.		11.		12. Total Burden Hours
					No. of Respondents		No. of Reports Filed Per Person		Total Annual Responses		Average Time to Respond		Exempt	Non-Exempt
Vendor revocation of agreement to provide borrower training	 	 	Non-form (Business)	764.458 (a)(4)	11		1		11		15		     	3
Renewal of vendor approval to provide borrower training	 	 	Non-form (Business)	764.458 (b)	133*		1		133		390		     	865
Vendor evaluation of borrower progress	 	 	Non-form (Business)	764.459	396		6.72		2,661		30		     	1,331
RE mortgage/modification agreement			Non-form (Farmer)	765.205, 766.106	973		1		973		30			487
Conservation Plan			Non-form (Farmer)	764.51(b)(15)	1,612		1		1,612		15			242
Transition to Organic/Sustainable			Non-form (Farmer)	764.51(b)(16)	9		1		9		15			2
Entity information – loan application			Non-form (Farmer)	764.51(b)(2)	672 <10 ( ML)		1		846		15			127
Documentation other credit is not available – applicant			Non-form (Farmer)	764.51(b)(6)	19,110		1		19,110		60			19,110
* Denotes unduplicated respondents	 	 	     	     	     		    		     		     		     	     
(e) denotes electronic submission of collection	 	 	     	     	     		    		     		     		     	     
SUBTOTALS					133*		     		25,355				     
TOTALS					184,871*		3.7		698,394					217,927