Information Collection

Assignments of Payments and Joint Payment Authorization

IC 1475 under ICR 202409-0560-002 · OMB 0560-0183.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CCC-37 Assignments of Payments and Joint Payment Authorization	Form
Form CCC-37 Joint Payment Authorization Assignments of Payments and Joint Payment Authorization	Form
Form CCC-36 (Spanish) Assignment of Payment Assignments of Payments and Joint Payment Authorization	Form
Form CCC-37 (Spanish) Joint Payment Authorization Assignments of Payments and Joint Payment Authorization	Form
Form FPAC-FM-12 Request for FSA AND NRCS payments of Federal benefits by check (Request for Waiver) Assignments of Payments and Joint Payment Authorization	Form
Form CCC-36 Assignment of Payment Assignments of Payments and Joint Payment Authorization	Form
CCC0036_eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0036_eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0037eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0037eGov_05-28-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0036Spanish_eGov_06-01-21V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0036Spanish_eGov_06-01-21V02.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0037Spanish_eGov06-01-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC0037Spanish_eGov06-01-21V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Instruction
CCC-37 Joint Payment Authorization CCC0037_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-37 Joint Payment Authorization CCC0037_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-36 (Spanish) Assignment of Payment SPA_CCC0036_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-36 (Spanish) Assignment of Payment SPA_CCC0036_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-37 (Spanish) Joint Payment Authorization SPA_CCC0037_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-37 (Spanish) Joint Payment Authorization SPA_CCC0037_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
FPAC-FM-12 Request for FSA AND NRCS payments of Federal benefits by FPAC-FMD0012_210614V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
FPAC-FM-12 Request for FSA AND NRCS payments of Federal benefits by FPAC-FMD0012_210614V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-36 Assignment of Payment CCC0036_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form
CCC-36 Assignment of Payment CCC0036_221017V01.pdf forms.sc.egov.usda.gov/eforms/mainservlet	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Assignments of Payments and Joint Payment Authorization

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 1404

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CCC-37	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-36 (Spanish)	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-37 (Spanish)	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Instruction		http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction		http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction		http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction		http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	FPAC-FM-12	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-36	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 202,612

Number of Respondents for Small Entity: 2,000

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	438,384	-262,107	700,491
Annual IC Time Burden (Hours)	72,962	-43,725	116,687
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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