INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-I: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display. |
TITLE OF INFORMATION COLLECTION DOCUMENT | OMB NO. | 0560-0291 | ||||||||||||||||
WhIP+ and QLP | |||||||||||||||||||
DATE PREPARED | |||||||||||||||||||
July 12, 2021 | |||||||||||||||||||
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | ANNUAL BURDEN | ||||||||||||||||||
REPORTS | RECORDS | RESPONDENT COST | |||||||||||||||||
TOTAL BURDEN HOURS | TOTAL | ||||||||||||||||||
FORMS NO (S) | NO. OF | NO OF | TOTAL ANNUAL | HOURS | (Col. F x G) | NO. OF | ANNUAL | RECORD- | COST | TOTAL | |||||||||
SECTION OF | DESCRIPTION | (If "none" | RESPONDENTS | RESPONSES | RESPONSES | PER | (H) | RECORD- | HOURS PER | KEEPING HOURS | PER | COST | |||||||
REGS. | so state) | PER | (Col. D x E) | RESPONSE | KEEPERS | RECORD- | (Col. I x J) | HOUR | (Col. H x L) | ||||||||||
RESPONDENT | EXEMPT | NON-EXEMPT | KEEPER | ||||||||||||||||
(A) | (B) | (C) | (D) | (E) | (F) | (G) | (I) | (J) | (K) | (L) | (M) | ||||||||
Wildfire Hurricane Idemnity Program Application | FSA-890 | 40.831 | 1 | 40,831 | 0.5 | 20,416 | $53.71 | 1096516.51 | |||||||||||
Crop Insurance and/or NAP Coverage Agreement | FSA-891 | 40,831 | 1 | 40831 | 0.0833 | 3,401 | $53.71 | 182679.65 | |||||||||||
Request for an Exeption to the WHIIP Payment Limitation of !25,000 | FSA-892 | 16,332 | 1 | 16,332 | 0.0833 | 1,360 | $53.71 | 73070.07 | |||||||||||
2018 Citrus Proudcrion History and Approved Field Records (Florida only) | FSA-893 | 3,293 | 1 | 3,293 | 0.0833 | 274 | $53.71 | 14733.02 | |||||||||||
Wildfires and Hurriance Indemity Program Appplication (Continuation) | FSA-890 (contiunuation) | 12,250 | 1 | 12,250 | 0.25 | 3,063 | $53.71 | 164486.88 | |||||||||||
Application Grant for Florida | Grant | 3.293 | 1 | 3,293 | 0.33 | 1,087 | $53.71 | 58366.12 | |||||||||||
7 CFR Part 760 Subpart R |
Application | FSA-898 | 180,000 | 1 | 180,000 | 0.75 | 135,000 | $53.71 | 7,250,850 | ||||||||||
7 CFR Part 760 Subpart R |
Historical Nutritional Value Weighted Average Worksheet | FSA-899 | 9,600 | 2 | 19,200 | 0.75 | 14,400 | $53.71 | 773,424 | ||||||||||
7 CFR Part 760 Subpart R |
Crop Insurance Noninsured Assistance Program Coverage Agreement | FSA-895 | 18,000 | 1 | 18,000 | 0.08 | 1,500 | $53.71 | 80,565 | ||||||||||
7 CFR part 1400 | Farm Operating Plan for an Entity | CCC-902E | 4,500 | 1 | 4,500 | 0.25 | 1,125 | $53.71 | 60,424 | ||||||||||
7 CFR part 1400 | Farm Operating Plan for an Individual | CCC-902I | 4,500 | 1 | 4,500 | 0.25 | 1,125 | $53.71 | 60,424 | ||||||||||
7 CFR part 1400 | Average Adjusted Gross Income (AGI) Certification and Consent to Disclosure of Tax Information | CCC-941 | 9,000 | 1 | 9,000 | 0.08 | 750 | $53.71 | 40,283 | ||||||||||
7 CFR part 1400 | Certification of Income From Farming, Ranching and Forestry Operations, optional | CCC-942 | 900 | 1 | 900 | 0.17 | 150 | $53.71 | 8,057 | ||||||||||
7 CFR part 1400 | Member Information for Legal Entities, if applicable | CCC-901 | 1,800 | 1 | 1,800 | 0.50 | 900 | $53.71 | 48,339 | ||||||||||
7 CFR part 2 | Highly Erodible Land Conservation (HELC) and Wetland Conservation Certification (exempt from PRA 16 U.S.C. 3846) | AD-1026 | 1,800 | 1 | 1,800 | 0.08 | 150 | $53.71 | 8,057 | ||||||||||
Report of Acreage | FSA-578 | 18,000 | 1 | 18,000 | 0.50 | 9,000 | $53.71 | 483,390 | |||||||||||
SUBTOTAL | 236,100 | 0 | 184,551 | 0.00 | 8,813,811 | ||||||||||||||
TOTAL OF ALL PAGES | 236,100 | 0 | 184,551 | 0.00 | 8,813,811 | ||||||||||||||
TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c | 236,100 | 184,551 | |||||||||||||||||
Based on CFAP | |||||||||||||||||||
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |