Assignments of Payments and Joint Payment Authorization

Assignments of Payments and Joint Payment Authorization; Request for Waiver

OMB: 0560-0183

IC ID: 1475

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0183 can be found here:

Documents and Forms

Document Name Document Type
Form CCC-251 Assignments of Payments and Joint Payment Authorization Form
CCC0036_eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0036_eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0037eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0037eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0036Spanish_eGov_06-01-21V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0036Spanish_eGov_06-01-21V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0037Spanish_eGov06-01-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
CCC0037Spanish_eGov06-01-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Instruction
FSA-252 Instruction.pdf Instruction
FSA-252 Instruction.pdf Instruction
CCC-251 Notice of Assignment CCC0251_180824V01.pdf Form
CCC-251 Notice of Assignment CCC0251_180824V01.pdf Form
CCC-252 Instrument of Assignment CCC0252_180824V01 (1).pdf Form
CCC-252 Instrument of Assignment CCC0252_180824V01 (1).pdf Form
CCC-37 Joint Payment Authorization CCC-37.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-37 Joint Payment Authorization CCC-37.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-36 (Spanish) Assignment of Payment CCC0036Spanish_210601V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-36 (Spanish) Assignment of Payment CCC0036Spanish_210601V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-37 (Spanish) Joint Payment Authorization CCC0037Spanish_210601V02 (1).pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-37 (Spanish) Joint Payment Authorization CCC0037Spanish_210601V02 (1).pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
FPAC-FM-12 Request for FSA AND NRCS payments of Federal benefits by FPAC-FMD0012_210614V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
FPAC-FM-12 Request for FSA AND NRCS payments of Federal benefits by FPAC-FMD0012_210614V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-36 Assignment of Payment CCC-36.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
CCC-36 Assignment of Payment CCC-36.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Assignments of Payments and Joint Payment Authorization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 1404

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CCC-251	Notice of Assignment	CCC0251_180824V01.pdf		No		Paper Only
Form	CCC-252	Instrument of Assignment	CCC0252_180824V01 (1).pdf		No		Paper Only
Form	CCC-37	Joint Payment Authorization	CCC-37.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-36 (Spanish)	Assignment of Payment	CCC0036Spanish_210601V02.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-37 (Spanish)	Joint Payment Authorization	CCC0037Spanish_210601V02 (1).pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Instruction			CCC0036_eGov_05-28-21V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction			CCC0037eGov_05-28-21V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction			CCC0036Spanish_eGov_06-01-21V02.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction			CCC0037Spanish_eGov06-01-21V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	FPAC-FM-12	Request for FSA AND NRCS payments of Federal benefits by check (Request for Waiver)	FPAC-FMD0012_210614V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-36	Assignment of Payment	CCC-36.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Instruction			FSA-252 Instruction.pdf		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: 700,491	Number of Respondents for Small Entity: 2,000

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	700,491	573,949	126,542
Annual IC Time Burden (Hours)	116,687	95,604	21,083
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.