Assignments of Payments and Joint Payment Authorization; Request for Waiver

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CCC-36 Assignment of Payment	Form	Modified	Available
Form FPAC-FM-12 Request for FSA AND NRCS payments of Federal benefits by check (Request for Waiver)	Form	Modified	Available
Form CCC-37 (Spanish) Joint Payment Authorization	Form	Modified	Available
Form CCC-36 (Spanish) Assignment of Payment	Form	Modified	Available
Form CCC-37 Joint Payment Authorization	Form	Modified	Available
Form CCC-37 Assignments of Payments and Joint Payment Authorization	Form	Modified	Repair queued
2024 Supporting Statement 1.docx	Supporting Statement A	Uploaded 2024-10-01	Repair queued
2024 Supporting Statement 9 9 2024.docx	Supporting Statement A	Uploaded 2024-09-10	Repair queued
Reporting and Recordkeeping Requirements 05072024.xlsm	Supplementary Document	Uploaded 2024-09-06	Available
Reporting and Recordkeeping Requirements 05072024.xlsm	Supplementary Document	Uploaded 2024-09-06	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Assignment of Payment
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Request for FSA AND NRCS payments of Federal benefits by check (Request for Waiver)
1475	Assignments of Payments and Joint Payment Authorization	Instruction	Modified
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Joint Payment Authorization
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Assignment of Payment
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified	Joint Payment Authorization
1475	Assignments of Payments and Joint Payment Authorization	Form	Modified

ICR Details

OMB Control No: 0560-0183	ICR Reference No: 202409-0560-002
Status: Active	Previous ICR Reference No: 202301-0560-013
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Assignments of Payments and Joint Payment Authorization; Request for Waiver
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/18/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/16/2024
Terms of Clearance: This collection is an extension, not a revision.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2027	36 Months From Approved	10/31/2024
Responses	438,384	0	700,491
Time Burden (Hours)	72,962	0	116,687
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection is to allow farmers or individuals to voluntarily assign their payment to a third party and request for EFT waiver.

---

Authorizing Statute(s): US Code: 16 USC 590h (g) Name of Law: The Soil Conservation and Domestic Allotment Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 47126	05/31/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 75526	09/16/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Assignments of Payments and Joint Payment Authorization	FPAC-FM-12 , CCC-36 , CCC-37 , CCC-36 (Spanish), CCC-37 (Spanish)	Joint Payment Authorization ,   Assignment of Payment ,   Joint Payment Authorization ,   Request for FSA AND NRCS payments of Federal benefits by check (Request for Waiver) ,   Assignment of Payment

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	438,384	700,491	0	-262,107	0	0
Annual Time Burden (Hours)	72,962	116,687	0	-43,725	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: FSA is making adjustments in this request. The adjustments are the number of respondents decreased by 262,107, and the burden hours also increased by 43,725 due to the decrease of producers or farmers participating in several programs such as Coronavirus Food Assistance Program (CFAP), Wildfires and Hurricanes Indemnity Program and other discontinued FSA programs.

---

Annual Cost to Federal Government: $34,628,390

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/16/2024

---