Reporting and Recordkeeping Requirements

Reporting and Recordkeeping Requirements WHIP and QLA.xlsm

2017 Wildfires and Hurricanes Indemnity Program (2017 WHIP) (Florida Citrus Block Grant) and Quality Loss Adjustment (QLA) Program

Reporting and Recordkeeping Requirements

OMB: 0560-0291

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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




March 4, 2022

























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 40,831 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 0.333
1,097


$53.71 58896.72

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








Report of Acreage FSA-578 18,000 1 18,000 0.50 9,000
























































SUBTOTAL



236100 0 184,551

0.00
9,912,234


TOTAL OF ALL PAGES


0 236100 0 184,551

0.00
9,912,234

TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c


0

184,551






















































































































































































































































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