Pandemic Livestock Indemnity Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CCC-942 CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS NOTE: The	Form	Unchanged	Available
Form CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION	Form	Unchanged	Available
Form CCC-902E FARM OPERATING PLAN FOR AN ENTITY “	Form	Unchanged	Available
Form CCC-902I FARM OPERATING PLAN FOR AN INDIVIDUAL	Form	Unchanged	Available
Form CCC-901 MEMBER’S INFORMATION	Form	Unchanged	Available
Form FSA-620 PLIP Application	Form	Unchanged	Repair queued
Form FSA-620 PLIP	Form	Unchanged	Repair queued
Supporting Document-2022 PLIP.docx	Supporting Statement A	Uploaded 2022-02-14	Repair queued
AD-1026.pdf	Supplementary Document	Uploaded 2021-06-16	Repair queued
Reporting and Recordkeeping Requirements .xlsm	Supplementary Document	Uploaded 2022-02-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
247628	PLIP	Form	Unchanged	CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS NOTE: The
247628	PLIP	Form	Unchanged	AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION
247628	PLIP	Form	Unchanged	FARM OPERATING PLAN FOR AN ENTITY “
247628	PLIP	Form	Unchanged	FARM OPERATING PLAN FOR AN INDIVIDUAL
247628	PLIP	Form	Unchanged	MEMBER’S INFORMATION
247628	PLIP	Form	Unchanged	PLIP Application
247628	PLIP	Form	Unchanged
247628	PLIP	Instruction	Unchanged

ICR Details

OMB Control No: 0560-0301	ICR Reference No: 202201-0560-009
Status: Historical Active	Previous ICR Reference No: 202105-0560-004
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Pandemic Livestock Indemnity Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/22/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/14/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2025	36 Months From Approved	03/31/2022
Responses	2,546	0	2,546
Time Burden (Hours)	1,408	0	1,408
Cost Burden (Dollars)	0	0	0

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Abstract: FSA has implemented the Pandemic Livestock Indemnity Program (PLIP) to make payments to producers of livestock and poultry for losses of livestock or poultry depopulated before December 27, 2020, due to insufficient processing access, based on 80 percent of the fair market value of the livestock and poultry, and for the cost of depopulation (other than costs already compensated under the Environmental Quality Incentives Program).

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 67900	11/30/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 7992	02/11/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
PLIP	FSA-620, CCC-901, CCC-902I, CCC-902E, CCC-941, CCC-942	PLIP Application ,   MEMBER’S INFORMATION ,   FARM OPERATING PLAN FOR AN INDIVIDUAL ,   FARM OPERATING PLAN FOR AN ENTITY “ ,   AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION ,   CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS NOTE: The

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,546	2,546	0	0	0	0
Annual Time Burden (Hours)	1,408	1,408	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $90,739

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/14/2022

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