Representation for CCC and FSA Loans and Authorization to File a Financing Statement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0215 can be found here:

Documents and Forms

Document Name Document Type
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement Form
CCC0010egov_1.docx forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0010egov_1.docx forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC-10 Representation for Commodity Credit Corporation or Farm CCC0010_ 2.docx forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-10 Representation for Commodity Credit Corporation or Farm CCC0010_ 2.docx forms.sc.egov.usda.gov/eforms/mainservlet Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CCC-10	Representation for Commodity Credit Corporation or Farm Service Agency Loans and Authorization to File a Financing Statement and Related Documents	CCC0010_ 2.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Instruction			CCC0010egov_1.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,822	Number of Respondents for Small Entity: 900

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

Percentage of Respondents Reporting Electronically: 4 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,822	2,388	1,434
Annual IC Time Burden (Hours)	317	198	119
Annual IC Cost Burden (Dollars)	0	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.