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2017 WHIP and QLA
2017 Wildfires and Hurricanes Indemnity Program (2017 WHIP) (Florida Citrus Block Grant) and Quality Loss Adjustment (QLA) Program
OMB: 0560-0291
IC ID: 231671
OMB.report
USDA/FSA
OMB 0560-0291
ICR 202203-0560-003
IC 231671
( )
Documents and Forms
Document Name
Document Type
Form FSA-890
2017 WHIP and QLA
Form
Exhibit 5 - Completing FSA-890 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
Exhibit 5 - Completing FSA-890 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
Exhibit 6 - Completing FSA-891 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
Exhibit 6 - Completing FSA-891 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
Exhibit 7 - Completing FSA-892.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
Exhibit 7 - Completing FSA-892.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
Exhibit 8 - Completing FSA-893 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
Exhibit 8 - Completing FSA-893 Instructions.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Instruction
FSA-895 instruction.pdf
Instruction
FSA-895 instruction.pdf
Instruction
FSA 898 instruction.pdf
Instruction
FSA 898 instruction.pdf
Instruction
FSA-899 instruction.pdf
Instruction
FSA-899 instruction.pdf
Instruction
CCC-901 instruction.pdf
Instruction
CCC-901 instruction.pdf
Instruction
Instructions for CCC-902I.htm
Instruction
Instructions for CCC-902I.htm
Instruction
CCC-902E instruction.pdf
Instruction
CCC-902E instruction.pdf
Instruction
CCC-942 instruction.pdf
Instruction
CCC-942 instruction.pdf
Instruction
CCC-941 instruction.pdf
Instruction
CCC-941 instruction.pdf
Instruction
FSA-890 2017 WILDFIRES AND HURRICANES INDEMNITY PROGRAM (WHIP) A
FSA0890.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-890 2017 WILDFIRES AND HURRICANES INDEMNITY PROGRAM (WHIP) A
FSA0890.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-891 CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT
FSA-891.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-891 CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT
FSA-891.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-892 REQUEST FOR AN EXCEPTION TO THE 2017 WHIP PAYMENT LIMITA
FSA892_18xxxxV01 .docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-892 REQUEST FOR AN EXCEPTION TO THE 2017 WHIP PAYMENT LIMITA
FSA892_18xxxxV01 .docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-893 2018 CITRUS ACTUAL PRODUCTION HISTORY AND APPROVED YIELD
FSA0893 _18xxxxV01.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-893 2018 CITRUS ACTUAL PRODUCTION HISTORY AND APPROVED YIELD
FSA0893 _18xxxxV01.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-890 Continutation form - 2017 WILDFIRES AND HURRICANES INDEM
FSA0890 Continuation.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-890 Continutation form - 2017 WILDFIRES AND HURRICANES INDEM
FSA0890 Continuation.docx
forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Form
FSA-895 CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT
FSA-895.pdf
Form
FSA-895 CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT
FSA-895.pdf
Form
FSA-898 Quality Loss Adjustment
FSA-898.pdf
Form
FSA-898 Quality Loss Adjustment
FSA-898.pdf
Form
FSA-899 HISTORICAL NUTRITIONAL VALUE WEIGHTED AVERAGE WORKSHEET
FSA-899.pdf
Form
FSA-899 HISTORICAL NUTRITIONAL VALUE WEIGHTED AVERAGE WORKSHEET
FSA-899.pdf
Form
CCC-901 Member Information for Legal Entities, if applicable
CCC-901.pdf
Form
CCC-901 Member Information for Legal Entities, if applicable
CCC-901.pdf
Form
CCC-902I Farm Operating Plan for an Individual
CCC-902I.pdf
Form
CCC-902I Farm Operating Plan for an Individual
CCC-902I.pdf
Form
CCC-902E Farm Operating Plan for an Entity
CCC-902E.pdf
Form
CCC-902E Farm Operating Plan for an Entity
CCC-902E.pdf
Form
CCC-942 Certification of Income From Farming, Ranching and Fores
CCC-942.pdf
Form
CCC-942 Certification of Income From Farming, Ranching and Fores
CCC-942.pdf
Form
CCC-941 Average Adjusted Gross Income (AGI) Certification and Co
CCC-941.pdf
Form
CCC-941 Average Adjusted Gross Income (AGI) Certification and Co
CCC-941.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2017 WHIP and QLA
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-890
2017 WILDFIRES AND HURRICANES INDEMNITY PROGRAM (WHIP) APPLICATION
FSA0890.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Fillable Fileable
Instruction
Exhibit 5 - Completing FSA-890 Instructions.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
No
Printable Only
Form
FSA-891
CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT
FSA-891.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Fillable Fileable
Instruction
Exhibit 6 - Completing FSA-891 Instructions.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
No
Printable Only
Form
FSA-892
REQUEST FOR AN EXCEPTION TO THE 2017 WHIP PAYMENT LIMITATION OF $125,000
FSA892_18xxxxV01 .docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
Yes
Fillable Fileable
Instruction
Exhibit 7 - Completing FSA-892.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
No
Printable Only
Form
FSA-893
2018 CITRUS ACTUAL PRODUCTION HISTORY AND APPROVED YIELD RECORD (FLORIDA ONLY)
FSA0893 _18xxxxV01.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Fillable Fileable
Instruction
Exhibit 8 - Completing FSA-893 Instructions.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
No
Printable Only
Form
FSA-890
Continutation form - 2017 WILDFIRES AND HURRICANES INDEMNITY PROGRAM (WHIP) APPLICATIONContinuation form
FSA0890 Continuation.docx
http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Yes
No
Fillable Fileable
Form
FSA-895
CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT
FSA-895.pdf
Yes
Yes
Fillable Fileable
Instruction
FSA-895 instruction.pdf
Yes
No
Printable Only
Form
FSA-898
Quality Loss Adjustment
FSA-898.pdf
Yes
Yes
Fillable Fileable
Instruction
FSA 898 instruction.pdf
Yes
No
Printable Only
Form
FSA-899
HISTORICAL NUTRITIONAL VALUE WEIGHTED AVERAGE WORKSHEET
FSA-899.pdf
Yes
Yes
Fillable Fileable
Instruction
FSA-899 instruction.pdf
Yes
No
Printable Only
Form
CCC-901
Member Information for Legal Entities, if applicable
CCC-901.pdf
Yes
Yes
Fillable Fileable
Instruction
CCC-901 instruction.pdf
Yes
No
Printable Only
Form
CCC-902I
Farm Operating Plan for an Individual
CCC-902I.pdf
Yes
Yes
Fillable Fileable
Instruction
Instructions for CCC-902I.htm
Yes
No
Printable Only
Form
CCC-902E
Farm Operating Plan for an Entity
CCC-902E.pdf
Yes
Yes
Fillable Fileable
Instruction
CCC-902E instruction.pdf
Yes
No
Printable Only
Form
CCC-942
Certification of Income From Farming, Ranching and Forestry Operations, optional
CCC-942.pdf
Yes
Yes
Fillable Fileable
Instruction
CCC-942 instruction.pdf
Yes
No
Printable Only
Form
CCC-941
Average Adjusted Gross Income (AGI) Certification and Consent to Disclosure of Tax Information
CCC-941.pdf
Yes
Yes
Fillable Fileable
Instruction
CCC-941 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:
236,100
Number of Respondents for Small Entity:
28,920
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
10 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
236,100
0
0
0
0
236,100
Annual IC Time Burden (Hours)
184,551
0
0
0
0
184,551
Annual IC Cost Burden (Dollars)
0
0
0
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.