Plip

Pandemic Livestock Indemnity Program

OMB: 0560-0301

IC ID: 247628

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: Unchanged

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	Previously Approved
Annual Number of Responses for this IC	2,546	2,546
Annual IC Time Burden (Hours)	1,408	1,408
Annual IC Cost Burden (Dollars)	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.