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.  | 
				0560-0229  | 
				2. Title of Clearance  | 
				Nomination Form for County Farm Service Agency (FSA) Committee Election  | 
			||||||||||
					  | 
				
					  | 
			|||||||||||||
					 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  | 
			||||
Nomination Form for County FSA Committee Election  | 
				x  | 
				
  | 
				FSA-669A and FSA-669A-2  | 
				7CFR1708.1-2  | 
				10,000  | 
				1  | 
				10,000  | 
				.17  | 
				
  | 
				1,700  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
Travel Time  | 
				
  | 
				
  | 
				
  | 
				
  | 
				5,000  | 
				
  | 
				
  | 
				1 hour  | 
				
  | 
				5,000  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
				
  | 
			||||
TOTALS   | 
				10,000  | 
				1  | 
				10,000  | 
				
					  | 
				
  | 
				6,700  | 
			||||||||
	
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | SYSTEM | 
| File Modified | 2017-11-28 | 
| File Created | 2017-11-28 |