Representation for CCC and FSA Loans and Authorization to File a Financing Statement

Documents and Forms

Document Name Document Type
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement Form
CCC0010egov_1.docx forms.sc.egov.usda.gov/eforms/formsearchservlet Instruction
CCC-10 Representation for CCC and FSA Loans and Authorization t CCC0010_24xxxxV01 p2.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	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	CCC-10	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	CCC0010_24xxxxV01 p2.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Instruction			CCC0010egov_1.docx	http://forms.sc.egov.usda.gov/eforms/formsearchservlet	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title: Farm Records File (Automated); USDA/FSA-2 SORN	FR Citation: 84 FR 10770

Number of Respondents: 3,030	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 4 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,030	2,213	817
Annual IC Time Burden (Hours)	242	174	68
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.