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Plip
Pandemic Livestock Indemnity Program
OMB: 0560-0301
IC ID: 247628
OMB.report
USDA/FSA
OMB 0560-0301
ICR 202105-0560-004
IC 247628
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0301 can be found here:
2022-02-14 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FSA-620
PLIP
Form
FSA 620 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
FSA 620 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc901 instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc901 instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc902I instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc902I instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc902E instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc902E instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc941 instruction.pdf
forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes
Instruction
ccc941 instruction.pdf
forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes
Instruction
ccc942 instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
ccc942 instruction.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
FSA-620 PLIP Application
FSA0620_proposal.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-620 PLIP Application
FSA0620_proposal.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-901 MEMBER’S INFORMATION
CCC-901.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-901 MEMBER’S INFORMATION
CCC-901.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-902I FARM OPERATING PLAN FOR AN INDIVIDUAL
ccc902I.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-902I FARM OPERATING PLAN FOR AN INDIVIDUAL
ccc902I.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-902E FARM OPERATING PLAN FOR AN ENTITY “
ccc902E.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-902E FARM OPERATING PLAN FOR AN ENTITY “
ccc902E.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CO
CCC-941.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CO
CCC-941.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORES
ccc942.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORES
ccc942.pdf
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PLIP
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
FSA-620
PLIP Application
FSA0620_proposal.docx
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Fillable Printable
Instruction
FSA 620 Instructions.docx
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Printable Only
Form
CCC-901
MEMBER’S INFORMATION
CCC-901.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
Yes
Fillable Fileable
Instruction
ccc901 instruction.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Printable Only
Form
CCC-902I
FARM OPERATING PLAN FOR AN INDIVIDUAL
ccc902I.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
Yes
Fillable Fileable
Instruction
ccc902I instruction.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Printable Only
Form
CCC-902E
FARM OPERATING PLAN FOR AN ENTITY “
ccc902E.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
Yes
Fillable Fileable
Instruction
ccc902E instruction.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Printable Only
Form
CCC-941
AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION
CCC-941.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
Yes
Fillable Fileable
Instruction
ccc941 instruction.pdf
https://forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes
Yes
No
Printable Only
Form
CCC-942
CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS NOTE: The
ccc942.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
Yes
Fillable Fileable
Instruction
ccc942 instruction.pdf
https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
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:
2,546
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Farms
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,546
0
2,546
0
0
0
Annual IC Time Burden (Hours)
1,408
0
1,408
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.