Power of Attorney

Documents and Forms

Document Name Document Type
Form FSA 211-211A Power of Attorney Form
Instructions for FSA-211 and 211A.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Instruction
FSA 211-211A Power of Attorney (POA) FSA0211-0211A_141125V01.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Power of Attorney	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSA 211-211A	Power of Attorney (POA)	FSA0211-0211A_141125V01.pdf	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Printable
Instruction			Instructions for FSA-211 and 211A.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,000	Number of Respondents for Small Entity: 4,750

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16,000	3,104	12,896
Annual IC Time Burden (Hours)	7,750	1,526	6,224
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.