Assignments of Payments and Joint Payment Authorization

Assignments of Payments and Joint Payment Authorization; Request for Waiver

OMB: 0560-0183

IC ID: 1475

Documents and Forms

Document Name Document Type
Form CCC-37 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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CCC-37	Joint Payment Authorization	CCC0037_221017V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-36 (Spanish)	Assignment of Payment	SPA_CCC0036_221017V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-37 (Spanish)	Joint Payment Authorization	SPA_CCC0037_221017V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Instruction			CCC0036_eGov_05-28-21V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction			CCC0037eGov_05-28-21V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction			CCC0036Spanish_eGov_06-01-21V02.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Instruction			CCC0037Spanish_eGov06-01-21V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Printable Only
Form	FPAC-FM-12	Request for FSA AND NRCS payments of Federal benefits by check (Request for Waiver)	FPAC-FMD0012_210614V01.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Printable
Form	CCC-36	Assignment of Payment	CCC0036_221017V01.pdf	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 %

	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

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.