QLA Program

Quality Loss Adjustment (QLA) Program and WHIP+

OMB: 0560-0298

IC ID: 244888

Documents and Forms

Document Name Document Type
FSA-898eGov.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
FSA0895eGov_instruction.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0942Egov_instuction .pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0899eGov_instruction .pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
FSA-898 WHIP+ QUALTY LOSS FSA898_proposal 13.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
FSA-899 HISTORICAL NUTRITIONAL VALUE WEIGHTED AVERAGE WORKSHEET FSA0899.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
FSA-895 CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT FSA0895_20xxxxV01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-901 Member's Information CCC0901_190416V01 (2).pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-902I FARM OPERATING PLAN FOR AN INDIVIDUAL CCC0902I_200928V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-902E FARM OPERATING PLAN FOR AN ENTITY CCC0902E_200928V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-942 CERTIFICATION OF INCOME FROM FARMING, CCC0942_200812V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CO CCC0941_200921V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	QLA Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 760

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSA-898	WHIP+ QUALTY LOSS	FSA898_proposal 13.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			FSA-898eGov.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	FSA-899	HISTORICAL NUTRITIONAL VALUE WEIGHTED AVERAGE WORKSHEET (QLA Program Forage Only)	FSA0899.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	FSA-895	CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT	FSA0895_20xxxxV01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			FSA0895eGov_instruction.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Form	CCC-901	Member's Information	CCC0901_190416V01 (2).pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-902I	FARM OPERATING PLAN FOR AN INDIVIDUAL	CCC0902I_200928V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Form	CCC-902E	FARM OPERATING PLAN FOR AN ENTITY	CCC0902E_200928V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-942	CERTIFICATION OF INCOME FROM FARMING,	CCC0942_200812V02.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			CCC0942Egov_instuction .pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction			CCC0899eGov_instruction .pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	CCC-941	AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION	CCC0941_200921V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180,000	Number of Respondents for Small Entity: 4,500

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	236,100	236,100
Annual IC Time Burden (Hours)	153,900	153,900
Annual IC Cost Burden (Dollars)	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.