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⚠️ Notice: This information collection may be referencing outdated material.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/formsearchservlet Instruction
CCC0010egov_1.docx forms.sc.egov.usda.gov/eforms/formsearchservlet Instruction
CCC-10 Representation for CCC and FSA Loans and Authorization t CCC0010_ 2.docx forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-10 Representation for CCC and FSA Loans and Authorization t 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 CCC and FSA Loans and Authorization to File a Financing Statement	CCC0010_ 2.docx	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Instruction			CCC0010egov_1.docx	http://forms.sc.egov.usda.gov/eforms/formsearchservlet	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: 817	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 4 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	817	-617	1,434
Annual IC Time Burden (Hours)	68	-51	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.