Information Collection

Coronavirus Food Assistance Program (CFAP)

IC 244891 under ICR 202012-0560-002 · OMB 0560-0299.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-3117 CORONAVIRUS FOOD ASSISTANCE Program 2.0 Coronavirus Food Assistance Program (CFAP)	Form
Form CCC-901 Member's Information Coronavirus Food Assistance Program (CFAP)	Form
Form CCC-902I FARM OPERATING PLAN FOR AN INDIVIDUAL Coronavirus Food Assistance Program (CFAP)	Form
Form CCC-902E FARM OPERATING PLAN FOR AN ENTITY Coronavirus Food Assistance Program (CFAP)	Form
Form CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION Coronavirus Food Assistance Program (CFAP)	Form
Form CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS Coronavirus Food Assistance Program (CFAP)	Form
Form AD-3117 Spanish fo CFAP 2.0 Coronavirus Food Assistance Program (CFAP)	Form
AD3117 instruction .pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0942Egov_instruction.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
AD3117eGov_01-19-21V01_SPA.docx forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
AD-3117 CORONAVIRUS FOOD ASSISTANCE Program 2.0 AD3117_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-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CO CCC0941_200921V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORES CCC0942_200812V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
AD-3117 Spanish fo CFAP 2.0 AD3117_210119V01 UNLOCKED_SPA.docx forms.sc.egov.usda.gov/eforms/mainservlet	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Coronavirus Food Assistance Program (CFAP)

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 9

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-3117	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction		http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	CCC-901	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	CCC-902I	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-902E	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-941	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	CCC-942	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction		http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	AD-3117 Spanish form	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Instruction		http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only

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: 181,600

Number of Respondents for Small Entity: 4,057

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	291,179	291,179
Annual IC Time Burden (Hours)	49,385	49,385
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.

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