Information Collection

County Committee Election

IC 1558 under ICR 202009-0560-005 · OMB 0560-0229.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0229 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FSA-669A-2 County Committee Election	Form and Instruction
FSA0669A.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
Spanish Instruction.txt forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
FSA-669A Nomination Form for County Farm Service Agency (FSA) Com FSA0669A_170321V02.docx forms.sc.egov.usda.gov/eforms/mainservlet	Form
FSA-669A (Spanish Nomination Form for County FSA Committee Election FSA0669A_Spanish_140422V01[1].docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Form
FSA-669A-2 Nomination Form for County FSA Committee SDA Appointment FSA0669A-0002_161228V01.docx forms.sc.egov.usda.gov/eforms/mainservlet	Form and Instruction
FSA-660A-3 NOMINATION FORM FOR URBAN AGRICULTURE COUNTY FSA COMMITT FSA0669A-3_20xxxxV01.docx forms.sc.egov.usda.gov/eforms/mainservlet	Form and Instruction

IC Title:

County Committee Election

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	FSA-669A	Nomination Form for County Farm Service Agency (FSA) Committee Election	FSA0669A_170321V02.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			FSA0669A.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	FSA-669A (Spanish Form)	Nomination Form for County FSA Committee Election	FSA0669A_Spanish_140422V01[1].docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable
Instruction			Spanish Instruction.txt	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Fileable
Form and Instruction	FSA-669A-2	Nomination Form for County FSA Committee SDA Appointment	FSA0669A-0002_161228V01.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form and Instruction	FSA-660A-3	NOMINATION FORM FOR URBAN AGRICULTURE COUNTY FSA COMMITTEE ELECTION	FSA0669A-3_20xxxxV01.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	6,700	6,700
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.