County Committee Election

Documents and Forms

Document Name Document Type
Form FSA-669A County Committee Election Form
Form FSA-669A County Committee Election Form
FSA-669A Nomination Form for County Farm Service Agency (FSA) Com FSA0669A_24xxxxV01 p4.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
FSA-669A Nomination Form for County Farm Service Agency (FSA) Com FSA0669A_24xxxxV01 p4.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form
FSA-669A (Spanish Nomination Form for County FSA Committee Election FSA0669A(SPA)_240807V01.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Form
FSA-669A (Spanish Nomination Form for County FSA Committee Election FSA0669A(SPA)_240807V01.pdf forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	County Committee Election	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-669A	Nomination Form for County Farm Service Agency (FSA) Committee Election	FSA0669A_24xxxxV01 p4.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable
Form	FSA-669A (Spanish Form)	Nomination Form for County FSA Committee Election	FSA0669A(SPA)_240807V01.pdf	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,500	10,500
Annual IC Time Burden (Hours)	2,625	2,625
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.