Reporting and Recordkeeping Requrirements

INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-I: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.								TITLE OF INFORMATION COLLECTION DOCUMENT						OMB NO.	0560-0NEW
								QLA Program
														DATE PREPARED
														November 13, 2020
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT							ANNUAL BURDEN
							REPORTS						RECORDS			RESPONDENT COST
											TOTAL BURDEN HOURS				TOTAL
						FORMS NO (S)	NO. OF	NO OF	TOTAL ANNUAL	HOURS	(Col. F x G)		NO. OF	ANNUAL	RECORD-	COST	TOTAL
SECTION OF	DESCRIPTION					(If "none"	RESPONDENTS	RESPONSES	RESPONSES	PER	(H)		RECORD-	HOURS PER	KEEPING HOURS	PER	COST
REGS.						so state)		PER	(Col. D x E)	RESPONSE			KEEPERS	RECORD-	(Col. I x J)	HOUR	(Col. H x L)
								RESPONDENT			EXEMPT	NON-EXEMPT		KEEPER
(A)	(B)					(C)	(D)	(E)	(F)	(G)			(I)	(J)	(K)	(L)	(M)
7 CFR Part 760 Subpart R	Application					FSA-898	180,000	1	180,000	0.75		135,000				$53.71	7,250,850
7 CFR Part 760 Subpart R	Historical Nutritional Value Weighted Average Worksheet					FSA-899	9,600	2	19,200	0.75		14,400				$53.71	773,424
7 CFR Part 760 Subpart R	Crop Insurance Noninsured Assistance Program Coverage Agreement					FSA-895	18,000	1	18,000	0.08		1,500				$53.71	80,565
7 CFR part 1400	Farm Operating Plan for an Entity					CCC-902E	4,500	1	4,500	0.25		1,125				$53.71	60,424
7 CFR part 1400	Farm Operating Plan for an Individual					CCC-902I	4,500	1	4,500	0.25		1,125				$53.71	60,424
7 CFR part 1400	Average Adjusted Gross Income (AGI) Certification and Consent to Disclosure of Tax Information					CCC-941	9,000	1	9,000	0.08		750				$53.71	40,283
7 CFR part 1400	Certification of Income From Farming, Ranching and Forestry Operations, optional					CCC-942	900	1	900	0.17		150				$53.71	8,057
7 CFR part 1400	Member Information for Legal Entities, if applicable					CCC-901	1,800	1	1,800	0.50		900				$53.71	48,339
7 CFR part 2	Highly Erodible Land Conservation (HELC) and Wetland Conservation Certification (exempt from PRA 16 U.S.C. 3846)					AD-1026	1,800	1	1,800	0.08	150					$53.71	8,057
	Report of Acreage					FSA-578	18,000	1	18,000	0.50	9,000					$53.71	483,390
	SUBTOTAL								236,100		0	153,900			0.00		8,813,811
	TOTAL OF ALL PAGES								236,100		0	153,900			0.00		8,813,811
TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c									236,100			153,900
																Based on CFAP