Coronavirus Food Assistance Program (CFAP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-3117 Spanish fo CFAP 2.0	Form	New	Available
Form CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS	Form	New	Available
Form CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION	Form	New	Available
Form CCC-902E FARM OPERATING PLAN FOR AN ENTITY	Form	New	Repair queued
Form CCC-902I FARM OPERATING PLAN FOR AN INDIVIDUAL	Form	New	Available
Form CCC-901 Member's Information	Form	New	Available
Form AD-3117 CORONAVIRUS FOOD ASSISTANCE Program 2.0	Form	New	Available
Memo Emergency Request CFAP 5.pdf	Supplementary Document	Uploaded 2021-01-04	Available
CFAP combined FRM 1 4 2021 Draft.docx	Supplementary Document	Uploaded 2021-01-04	Available
Supporting Document 2020 - CFAP 2.docx	Supporting Statement A	Uploaded 2021-01-11	Available
FSA0578MANUAL_190822V01.pdf	Supplementary Document	Uploaded 2020-12-15	Available
AD1026-1026APPENDIX_141030V01 (1).pdf	Supplementary Document	Uploaded 2020-12-12	Available
Reporting and Recordkeeping Requirements 2 .xlsm	Supplementary Document	Uploaded 2021-01-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244891	Coronavirus Food Assistance Program (CFAP)	Form	New	CFAP 2.0
244891	Coronavirus Food Assistance Program (CFAP)	Form	New	CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS
244891	Coronavirus Food Assistance Program (CFAP)	Form	New	AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION
244891	Coronavirus Food Assistance Program (CFAP)	Form	New	FARM OPERATING PLAN FOR AN ENTITY
244891	Coronavirus Food Assistance Program (CFAP)	Form	New	FARM OPERATING PLAN FOR AN INDIVIDUAL
244891	Coronavirus Food Assistance Program (CFAP)	Form	New	Member's Information
244891	Coronavirus Food Assistance Program (CFAP)	Form	New	CORONAVIRUS FOOD ASSISTANCE Program 2.0
244891	Coronavirus Food Assistance Program (CFAP)	Instruction	New

ICR Details

OMB Control No: 0560-0299	ICR Reference No: 202012-0560-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Coronavirus Food Assistance Program (CFAP)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 01/08/2021
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/19/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/04/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2021	6 Months From Approved
Responses	291,179	0	0
Time Burden (Hours)	49,385	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Coronavirus Food Assistance Program (CFAP) provides assistance to agricultural producers impacted by the effects of the COVID-19 outbreak. FSA is providing additional assistance for swine producers, cattle producers and contract producers of chickens, eggs, turkeys, and swine.

Emergency Justfication: FSA is requesting OMB approval on the information collection request under Emergency Request to provide assistance to agricultural producers impacted by the effects of the COVID-19 outbreak.

---

Authorizing Statute(s): US Code: 17 USC 714 Name of Law: CCC Charter Law
   PL: Pub.L. 116 - 136 Division B, Title I Name of Law: CARES Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0503-AA65	Final or interim final rulemaking	86 FR 4877	01/19/2021

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Coronavirus Food Assistance Program (CFAP)	AD-3117 Spanish form, AD-3117, CCC-901, CCC-902I , CCC-902E, CCC-941 , CCC-942	CORONAVIRUS FOOD ASSISTANCE Program 2.0 ,   Member's Information ,   FARM OPERATING PLAN FOR AN INDIVIDUAL ,   FARM OPERATING PLAN FOR AN ENTITY ,   AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION ,   CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS ,   CFAP 2.0

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	291,179	0	0	291,179	0	0
Annual Time Burden (Hours)	49,385	0	0	49,385	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

---

Annual Cost to Federal Government: $4,141,012

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/04/2021

---