AD3117 instruction

Instructions For AD-3117
CORONAVIRUS FOOD ASSISTANCE PROGRAM 2 (CFAP 2)
APPLICATION
This form will be used for applicants to apply for CFAP 2 benefits.
Submit the original of the completed form in hard copy, email, or facsimile to the
appropriate USDA servicing office, which may be found here:
https://offices.sc.egov.usda.gov/locator/app
Customers who have established electronic access credentials with USDA may
electronically transmit this form to the USDA servicing office, provided that (1) the
customer submitting the form is the only person required to sign the transaction, or (2)
the customer has an approved Power of Attorney (Form FSA-211) on file with USDA to
sign for other customers for the program and type of transaction represented by this
form.
Features for transmitting the form electronically are available to those customers with
access credentials only. If you would like to establish online access credentials with
USDA, follow the instructions provided at the USDA eForms website:
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home.
Producers must complete the following items; items 5 through 7, Item 10A, items 11
through 13, items 16 & 19, items 27A through 27C, items 28A through 28C, if applicable
Producers must complete Part G with a USDA FSA service center employee, if applicable.
FSA will complete fields noted as “COC Use Only.”

Item No. /
Field Name

Instruction

1
Recording State

Enter the producer’s recording state.

2
Program Year

The program year will be 2020.

3
Recording County

Enter the producer’s recording county.

4
Application
Number

Application Number will be assigned by the automated system.

Page 1 of 7

As of: 09-21-2020

Item No. /
Field Name
Part A
Producer
Agreement

Instruction
For Informational Purposes:
Applicants who are an individual person must complete automated CCC-902 or
manual CCC-902, Parts A and B, and provide name, address, taxpayer
identification number, and citizenship status. An individual who is not a U.S.
resident or lawful alien must also report contributions of labor, capital, and land
contributions to the farming operation.
Applicants who are a legal entity, including General Partnership or Joint Venture,
must complete automated CCC-902 or manual CCC-901 and provide the name,
address and taxpayer identification number for the legal entity and all members,
partners or stockholders with an ownership interest. If any member, partner or
stockholder is not a U.S. resident or lawful alien, CCC-902 must be completed to
report contributions of labor to the legal entity.
All applicants must submit CCC-941. Applicants with an average adjusted gross
income (AGI) of more than $900,000 for the 2016, 2017 and 2018 tax years may
submit CCC-942 to certify that at least 75 percent of the applicant’s AGI is
derived from farming, ranching, or forestry-related activities. Applicants who
exceed the AGI limitation and do not submit CCC-942 will not be eligible for
payment.

Part B – Producer Information
5
Producer’s Name,
Address (City,
State, and Zip
Code), and Phone
Number (Including
Area Code)

Enter the producer’s name, address, including ZIP code, and phone number,
including area code.

Part C – Dairy Production
6
Unit of Measure

Displays the unit of measure for dairy production as pounds (LBS).

7
Total Production
(April 1, 2020 –
August 31, 2020)

Enter the total production from April 1, 2020 to August 31, 2020, in pounds
(LBS).

8.
COC Adjusted
Total Production

COC may enter the adjusted total production from April 1, 2020 to August 31,
2020, if applicable.

Page 2 of 7

As of: 09-21-2020

Item No. /
Field Name

Instruction

(April 1, 2020 –
August 31, 2020)
(COC USE
ONLY)
9
Estimated Total
Production
(Sept. 1, 2020 –
Dec. 31, 2020)
(COC USE
ONLY)
10A
If you are no longer
producing milk,
what is the latest
date milk was
produced?
(MM/DD/YYYY)

Note: An entry is only required when COC determines the total production is
different than what is certified to by the producer in Item 7.

10B
COC Adjusted Last
Date Milk was
Produced
(COC USE
ONLY)

COC may enter the adjusted last date milk was marketed, if applicable.

System will display a calculated estimated total production for September 1, 2020
through December 31, 2020.
Note: The calculation will be Item 7 divided by 153 (number of days between April
1,2020, and August 31, 2020), then multiplying the resulting figure by 122
(number of days between Sept. 1, 2020, and Dec. 31, 2020.). When Item 10A is
completed, the figure of 122 (days) will be adjusted, if applicable.
Enter the last date milk was produced for those producers applying that are no
longer producing milk.
Note: If you cease producing milk before December 31, 2020, you are required to
notify the FSA County office of the date you either stopped producing
milk, or stopped commercially marketing milk in the case of a seasonal
dairy.

Note: An entry is only required when COC determines the last date milk was
produced is different than what is certified to by the producer in Item A.

Part D – Egg/Broiler Production
11
Commodity

Displays the eligible commodities.
The eligible commodities for Part D are:
• Broilers
• Dried Eggs
• Frozen Eggs
• Liquid Eggs
• Shell Eggs

12
Unit of Measure

Displays the applicable unit of measure for the commodities entered in Item 11.
The applicable unit of measure for the eligible commodities in Part D are:
Broilers – Head
Dried Eggs – Pounds (LBS)
Frozen Eggs – Pounds (LBS)
Liquid Eggs – Pounds (LBS)
Shell Eggs – Dozen

Page 3 of 7

As of: 09-21-2020

Item No. /
Field Name
13
2019 Total
Production

Instruction
Enter the 2019 total production nationally for the commodities entered in Item 11,
if applicable.
Note: If farming began after 12/31/2019, then must provide 2020 production.

14
COC Adjusted
2019 Total
Production
(COC USE
ONLY)

COC may enter the adjusted 2019 total production, if applicable.
Note: An entry is only required when COC determines the 2019 total production
is different than what is certified to by the producer in Item 13.

Part E – Livestock Inventory (Excluding Breeding Stock)
15
Livestock

Displays the eligible livestock for Part E.
The eligible livestock are:

16
Inventory
(Excluding
Breeding Stock)
(Highest on a Date
Between April 16,
2020 – August 31,
2020)
17
COC Adjusted
Inventory
(Excluding
Breeding Stock)
(Highest on a Date
Between April 16,
2020 – August 31,
2020)

• Cattle (Beef Cattle Only)
• Hogs/Pigs
• Sheep
Enter the highest owned inventory (excluding breeding stock) on a date between
April 16, 2020 and August 31, 2020, for the livestock entered in Item 15, if
applicable.

COC will enter the adjusted highest owned inventory (excluding breeding stock)
on a date between April 16, 2020 and August 31, 2020, if applicable.
Note: An entry is only required when COC determines the highest owned
inventory (excluding breeding stock) on a date between April 16, 2020
and August 31, 2020, is different than what is certified to by the producer
in Item 16.

Part F – Sales Commodities
18
Commodity

Displays the eligible sales commodities.
The eligible sales commodities are:
• Aquaculture
• Crops (excluding Part G crops)
• Nursery/Floriculture Crops

Page 4 of 7

As of: 09-21-2020

Item No. /
Field Name

Instruction
•
•

19
2019 Total
Commodity Sales

Miscellaneous
Other Livestock (Excluding Breeding Stock)
Note: Other livestock means any of the following livestock: animals
commercially raised for food, fur, fiber, or feathers, including
alpacas, bison, buffalo, beefalo, deer, ducks, elk, emus, geese, goats,
guinea pigs, llamas, mink, ostrich, pheasants, quail, rabbits,
reindeer, and turkeys.
• Tobacco
Enter the total dollar value of 2019 sales and all 2019 crop year crop insurance
indemnities and NAP and WHIP + payments received for the commodity(s) in
item 18.
Note: If farming began after 12/31/2019, then must provide 2020 sales (not
including crop insurance indemnities or NAP or WHIP+ Payments)

20
COC Adjusted
2019 Total
Commodity Sales
(COC USE
ONLY)

COC will enter the adjusted dollar value of 2019 total commodity(s) sales,
including all 2019 crop year crop insurance indemnities and NAP and WHIP+
payments received, if applicable.
Note: An entry is only required when COC determines the dollar value of 2019
total commodity(s) sales is different than what is certified to by the
producer in Item 19.

Part G – Acreage-Based Crops
21
Commodity

System will display eligible commodities based on the 2020 FSA-578(s) on file,
nationally for the producer.

22
Total 2020
Reported Acres

System will display the total 2020 reported acres or determined acres, if available,
on the 2020 FSA-578(s) on file, nationally for the producer, for the commodities
displayed in item 21.

23
COC Adjusted
Total 2020
Reported Acres
(COC USE
ONLY)
24
Weighted Insurance
Approved Yield
(COC USE
ONLY)
25

COC will enter adjusted total 2020 reported acres, if applicable.

Page 5 of 7

Note: An entry is only required when COC determines the acres to be
unreasonable or inaccurate.
System will display the producer’s Weighted Insurance Approved Yield from
RMA for the commodities displayed in item 21, if applicable.
Note: If no Weighted Insurance Approved Yield is available, then item 26 will be
populated.
COC will enter Adjusted Weighted Insurance Approved Yield, if applicable.

As of: 09-21-2020

Item No. /
Field Name
COC Adjusted
Weighted Insurance
Approved Yield
(COC USE
ONLY)
26
85% of Weighted
County Yield
(COC USE
ONLY)

Instruction
Note: An entry is only required when COC determines the Weighted Insurance
Approved Yield is different than the result in item 24.

System will display 85% of the Weighted County Yield for the commodity
displayed in item 21,if applicable.
Note: Will only display if item 24 is not available.

Part H – Contract Producer Revenue
27
Commodity

If a contract producer, enter the eligible commodities grown pursuant to a grower
contract.

28
2019 Revenue

The eligible contract producer commodities are:
• Chickens
• Chicken Eggs
• Turkeys
• Hogs/Pigs
Enter the total dollar value of eligible revenue for the 2019 calendar year for the
commodity entered in item 27.

29
2020 Revenue

Enter the total dollar value of eligible revenue for the 2020 calendar year for the
commodity entered in item 27.

30
COC Adjusted
2019 Revenue
(COC USE
ONLY)

COC will enter the total dollar value of eligible revenue for the 2019 calendar year,
if applicable.

31
COC Adjusted
2020 Revenue
(COC USE
ONLY)

Note: An entry is only required when COC determines the total dollar value of
eligible revenue for the 2019 calendar year is different than the result in
item 28.
COC will enter the total dollar value of eligible revenue for the 2020 calendar year,
if applicable.
Note: An entry is only required when COC determines the total dollar value of
eligible revenue for the 2020 calendar year is different than the result in item
29.

Part I – Increased Payment Limitation for Corporations, Limited Liability
Companies, Limited Partnerships, Trusts and Estates
32
A-C
Members

Page 6 of 7

Enter the member, partner stockholder, beneficiary, or heir name(s) who provide
400 hours or more of active personal labor or active personal management, or
combination thereof, to the farming operation identified in Part A,
Item 5.

As of: 09-21-2020

Item No. /
Field Name

Instruction

Note: Entry only required to be completed by Corporations, LLC’s, LP’s Trusts
or Estates.

Part J – Producer Certification
33A
Signature (By)

Producer applying for CFAP 2 benefits must sign.

33B
Title/Relationship
of the Individual
Signing in the
Representative
Capacity
33C
Date
(MM/DD/YYYY)

Enter title and/or relationship to the individual when signing in a representative
capacity.
Note: If the producer signing is not signing in a representative capacity, this field
should be left blank.
Enter the date the AD-3117 is signed in Item 33A.

Part K – COC Determination – COC USE ONLY
34
Payment Part
(COC USE
ONLY)
35
COC or Designee
Signature
(COC USE
ONLY)
36
Date
(MM/DD/YYY)
(COC USE
ONLY)
37
Determination
(COC USE
ONLY)

Page 7 of 7

Displays the payment parts – CARES and CCC.

COC or their representative will sign.
Note: COC must complete for both payment parts, if applicable in Item 34.

Enter the date COC or their representative signs the AD-3117.

COC or their representative will check (✓) either “Approved” or “Disapproved”
for both payment parts in Item 34.
Important: AD-3117 will be approved or disapproved as certified by the producer
after applicable COC adjustment fields are completed.

As of: 09-21-2020