Form FPAC-ISD-441 Request for Geospatial Products and Services

United States Department of Agriculture
OMB Control No. 0565-XXXX
OMB Expiration Date: XX/XX/XXXX

FPAC-ISD-441

Farm Production and Conservation-Business Center
Geospatial Enterprise Operations

REQUEST FOR GEOSPATIAL PRODUCTS AND SERVICES

See Page 2 for Privacy Act and Paperwork Reduction Act Statements
1. NAME

INSTRUCTIONS

2. STREET ADDRESS 1

ORDERING – Standard product is a high-resolution digital TF image.
You may email or call with the coverage area description (see Page 2),
year range needed, and shipping address with a phone number to the
email address or telephone number listed at the bottom of the page.

3. STREET ADDRESS 2
4. CITY, STATE, ZIP+4

PAYMENT- Prepayment is required.
Please do not send cash. Checks are no longer accepted. Purchase orders
are accepted from tax-supported agencies. Use the following PAY.GOV
collection form website link with your work order number for payment:
https://www.pay.gov/public/form/start/1178517031

5. CONTACT NAME
6. TELEPHONE NUMBER

7. FAX NUMBER

DELIVERY- Standard delivery is via digital download. Shipping costs are
included with the price of prints.

8. E-MAIL ADDRESS
A. CUSTOMER CODE
9. IF
KNOWN:

FOR U.S. GOVERNMENT AGENCY USE ONLY

B. AGENCY CODE

ORDERING UNIT CODE

FUNDS CHARGEABLE

C. PURCHASE ORDER (PO) NUMBER

10. CREDIT CARD NUMBER

Use PAY.GOV Collection Form Website

12. TOTAL REPRODUCTIONS
14. STATE OR REGION

11. WORK ORDER NO.

I CERTIFY THAT THESE ITEMS ARE NECESSARY FOR USE IN THE PUBLIC SERVICE

SIGNATURE

13. ORDER / PO AMOUNT
TITLE
$
IMAGERY DATA SECTION (See Page 2 for Ordering Information)
15. SPECIAL INSTRUCTIONS

DATE

16. COUNTY (OR FOREST AREA)

17. PRODUCT IDENTIFICATION
DIGITAL REPRODUCTIONS
FILM SIZE AND TYPE REPRODUCTIONS
A

QUAN.
EACH
B

YEAR
C

PROGRAM
SYMBOL
D

RES.
ROLL NO.
E

QUARTER QUAD NAMES/NO.
EXPOSURE(S) (RANGE(S))
F

18. COVERAGE AREA OR
LOCATION DESCRIPTION
Include information in boxes below
or Item 15 above.
•

Latitude / Longitude - point and
radius or four corner points

•

Legal Description - Township,
Range, Section(s)

•

Map - Detailed topographic,
county, or city map outlining
your area of interest as
accurately as possible.
- attach to form or email to
address below.

•

Electronic shapefiles with
projection.
- attach to email address
below.

Address Order for
Product or Request
for Information to:

CUSTOMER SERVICES
USDA FPAC-BC GEOSPATIAL ENTERPRISE OPERATIONS
125 SOUTH STATE STREET SUITE 6416
SALT LAKE CITY UT 84138-1102

TELEPHONE:
FAX:
E-MAIL:
WEBSITE:

801-844-2922
855-415-2014
[email protected]
USDA GEO Website

ORDERING INFORMATION

FPAC-ISD-441 (Page 2) (proposal 1)

A

A

Your customer information - include your street address (Items 2-3) and
telephone number (Item 6). If you are a tax-supported organization and
want to be billed, place your purchase order number here (Item 9C).

B

Total reproductions (Item 12) - in this area indicate the total number of
reproductions by product (i.e. 1-24x24, 1-Digital Image).
Order or purchase order amount (Item 13)

D

C

E

B

Special instructions (Item 15) - provide any special instructions you
require of us to process your order. Include area or location description
here.
Digital reproductions, film size and type reproductions (Item 17A) - refer
to Prices for Geospatial Products and Services (FPAC-ISD-441A).
Program or symbol (Item 17D) - you may know it as project code (ID),
FIPS codes, etc.
Resolution (Res.) or film roll number (Item 17E) - resolution of digital
imagery or a unique number related to a specific project.

C

* HOW TO ORDER AERIAL IMAGERY

Quarter Quad Name / No. or Exposure(s) (range(s)) (Item 17F) - indicate
quarter quad name or number or the film exposure number or range of
exposures here. Refer to FPAC-ISD-441A (Page 2).

F
D

Instructions - these are brief instructions related to your order. See ''HOW
TO ORDER AERIAL IMAGERY'' below. Also, see FPAC-ISD-441A.

E

U.S. Government Agency Use Only - this may substitute for your
purchase order. For USDA orders, your signature is required.

F

Preferred types of area or location descriptions (Item 18).

Fill out Items 14 through 18 on the FPAC-ISD-441, Request for Aerial Imagery & Related Products form. If you do not have the aerial photo identification
numbers, furnish one or more of the following forms of information and we will determine digital imagery and print selections for you:
•
•
•
•

Latitude and Longitude coordinates (point and radius or four corner points.)
Legal description of your area of interest in township, range, and section number.
A topographic, county, or city map outlining your area of interest as accurately as possible.
Electronic shapefiles with projection or KML/KMZ file.

You may request a copy of the Aerial Photo Guide from [email protected] to get a better idea of what to expect. Products are delivered after an order
and payment or purchase order are received. Please call 801-844-2923 if you prefer to order over the phone with an acceptable area or site description.

* GEO PRODUCTS AND SERVICES
Depending on the original film scale or digital resolution, photographs are available in selected scales ranging from 1 inch = 5,000 feet to 1
inch = 200 feet. Print sizes: 10"x10" to 30"x30" enlargements. Digital scans from film (10"x10") are available in TIF format. Digital Compressed
County Mosaics (CCM) and Quarter Quads (QQ). Visit the USDA Geospatial Data Gateway for CCMs or see FPAC-ISD-441A (Prices for Geospatial
Products and Services) for QQs for specific size and scale availability. For special needs not covered elsewhere on this form, contact us directly.
Additional fees may apply.

* OTHER AERIAL PHOTOGRAPHY
Photography secured for the Forest Service (FS) and National Resource Conservation Service (NRCS) can be purchased from us by the
same procedures outlined for USDA photography. The negative scales vary from 1:6,000 to 1:80,000, depending on the project area. Most
FS photography has been flown in natural color, some in black and white and color infrared. Most NRCS photography has been flown in
black and white, some in natural color and color infrared.

NOTE:

The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a - as amended). The authority for requesting the information identified on this form is the Agricultural
Adjustment Act of 1938 (7 U.S.C. 1387). The information will be used to process an order for aerial photography. The information collected on this form may be disclosed to other Federal, State,
Local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in applicable Routine
Uses identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated). Providing the requested information is voluntary. However, failure to furnish the requested
information will result in an inability on the part of the Aerial Photography Field Office to process the order for aerial photography.
Public Burden Statement (Paperwork Reduction Act (PRA)): According to the PRA requirement, an agency may not conduct or sponsor, and a person is not required to respond to, a collection
of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0565-0XXXX. The time required to complete this information
collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.
The provisions of appropriate criminal and civil fraud, privacy, and other statutes may be applicable to the information provided. RETURN THIS COMPLETED FORM TO THE USDA FPAC-BC
GEOSPATIAL ENTERPRISE OPERATIONS AT THE ADDRESS LISTED ON PAGE 1.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from
discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or
reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600
(voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide
in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity provider, employer, and lender.