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.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
0560-NEW |
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| Emergency Relief Program 2022 (ERP 2022) |
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| DATE PREPARED |
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| October 5, 2023 |
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| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
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RECORDS |
RESPONDENT COST |
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TOTAL BURDEN HOURS |
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TOTAL |
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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. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
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KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
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RESPONDENT |
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EXEMPT |
NON-EXEMPT |
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KEEPER |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
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(I) |
(J) |
(K) |
(L) |
(M) |
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Emergency Relief Program (ERP) 2022 Track 1 Application |
FSA-523 |
200,000 |
1 |
200,000 |
0.25 |
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50,000 |
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$62.55 |
3,127,500 |
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Emergency Relief Program (ERP) 2022 Track 2 Application |
FSA-524 |
30,000 |
1 |
30,000 |
1.00 |
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30,000 |
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$62.55 |
1,876,500 |
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Emergency Relief Program (ERP) 2022 Track 2 Tax Year Revenue Worksheet |
FSA-524-A |
5,000 |
1 |
5,000 |
1.00 |
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5,000 |
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$62.55 |
312,750 |
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Emergency Relief Program (ERP) 2022 Track 2 Expected Revenue Worksheet |
FSA-524-B |
5,000 |
1 |
5,000 |
1.00 |
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5,000 |
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$62.55 |
312,750 |
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Crop Insurance and/or NAP Coverage Agreement |
FSA-525 |
30,000 |
1 |
30,000 |
0.17 |
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5,100 |
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$62.55 |
319,005 |
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Customer Data Worksheet |
AD-2047 |
1,750 |
1 |
1,750 |
0.05 |
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88 |
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$62.55 |
5,473 |
| 7 CFR part 1400 |
Farm Operating Plan |
CCC-902 |
23,000 |
1 |
23,000 |
0.08 |
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1,840 |
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$62.55 |
115,092 |
| 7 CFR part 1400 |
Member Information for Legal Entities |
CCC-901 |
2,300 |
1 |
2,300 |
0.08 |
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184 |
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$62.55 |
11,509 |
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Highly Erodible Land Conservation (HELC) and Wetland Conservation (WC) Certification (exempt from PRA 16 U.S.C. 3846) |
AD-1026 |
805 |
1 |
805 |
0.08 |
64 |
0 |
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$0.00 |
0 |
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Socially Disadvantaged, Limited Resource, Beginning and Veteran Farmer or Rancher Certification |
CCC-860 |
23,000 |
1 |
23,000 |
0.10 |
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2,300 |
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$62.55 |
143,865 |
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Request for an Exception to the $125,000 Payment Limitation for Certain Programs |
FSA-510 |
7,000 |
1 |
7,000 |
0.08 |
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560 |
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$62.55 |
35,028 |
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SUBTOTAL |
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327,855 |
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64 |
100,072 |
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0.00 |
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6,259,472 |
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TOTAL OF ALL PAGES |
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327,855 |
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64 |
100,072 |
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0.00 |
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6,259,472 |
| TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c |
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327,855 |
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100,072 |
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