Information Collection

Conservation Effects Assessment Project

IC 1187 under ICR 202401-0535-003 · OMB 0535-0245.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0245 can be found here:

Documents and Forms

Document Name Document Type
Form SurveyID: 3641 Conservation Effects Assessment Project Form and Instruction
0245 - SAMPLE MAP with NRI CEAP point marked.docx Other-Sample Map
0245 - SAMPLE MAP with NRI CEAP point marked.docx Other-Sample Map
0245 - Conservation Effects Assessment Project - Respondent Booklet with Intro Letter - January 30, 2024.pdf Other-Respondent Booklet w/Letter
0245 - Conservation Effects Assessment Project - Respondent Booklet with Intro Letter - January 30, 2024.pdf Other-Respondent Booklet w/Letter
0245 - Conservation Effects Assessment Project - Respondent Booklet without Intro Letter - January 30, 2024.pdf Other-Respondent Booklet w/o Letter
0245 - Conservation Effects Assessment Project - Respondent Booklet without Intro Letter - January 30, 2024.pdf Other-Respondent Booklet w/o Letter
SurveyID: 3641 Conservation Effects Assessment Project - Screener 0245 - Conservation Effects Assessment Project - CEAP Screener - January 30, 2024.pdf Form and Instruction
SurveyID: 3641 Conservation Effects Assessment Project - Screener 0245 - Conservation Effects Assessment Project - CEAP Screener - January 30, 2024.pdf Form and Instruction
SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire 0245 - Conservation Effects Assessment Project - CEAP Questionnaire - January 30, 2024.pdf Form and Instruction
SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire 0245 - Conservation Effects Assessment Project - CEAP Questionnaire - January 30, 2024.pdf Form and Instruction
SMETA 3273 Conservation Effects Assessment Project - Chemical & Pes 0245 - Conservation Effects Assessment Project - Contractor Consent Form - January 30, 2024.pdf Form and Instruction
SMETA 3273 Conservation Effects Assessment Project - Chemical & Pes 0245 - Conservation Effects Assessment Project - Contractor Consent Form - January 30, 2024.pdf Form and Instruction
Survey ID: 9119 Conservation Effects Assessment Project - Quality Contro 0245 - Conservation Effects Assessment Project - Quality Control Form - January 30, 2024.pdf Form and Instruction
Survey ID: 9119 Conservation Effects Assessment Project - Quality Contro 0245 - Conservation Effects Assessment Project - Quality Control Form - January 30, 2024.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Conservation Effects Assessment Project	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SurveyID: 3641	Conservation Effects Assessment Project - Screener	0245 - Conservation Effects Assessment Project - CEAP Screener - January 30, 2024.pdf	Yes	Yes	Fillable Fileable
Other-Sample Map			0245 - SAMPLE MAP with NRI CEAP point marked.docx	No		Paper Only
Form and Instruction	SurveyID: 3273	Conservation Effects Assessment Project - Questionnaire	0245 - Conservation Effects Assessment Project - CEAP Questionnaire - January 30, 2024.pdf	No		Paper Only
Other-Respondent Booklet w/Letter			0245 - Conservation Effects Assessment Project - Respondent Booklet with Intro Letter - January 30, 2024.pdf	No		Paper Only
Other-Respondent Booklet w/o Letter			0245 - Conservation Effects Assessment Project - Respondent Booklet without Intro Letter - January 30, 2024.pdf	No		Paper Only
Form and Instruction	SMETA 3273	Conservation Effects Assessment Project - Chemical & Pesticide Applications Consent Form	0245 - Conservation Effects Assessment Project - Contractor Consent Form - January 30, 2024.pdf	No		Paper Only
Form and Instruction	Survey ID: 9119	Conservation Effects Assessment Project - Quality Control Worksheet	0245 - Conservation Effects Assessment Project - Quality Control Form - January 30, 2024.pdf	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title: Privacy Impact Assessment	FR Citation: 74 FR 79

Number of Respondents: 16,000	Number of Respondents for Small Entity: 13,588

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28,800	28,800
Annual IC Time Burden (Hours)	16,800	16,800
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.