Customer Data Worksheet Request for Business Partner Record Change

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-2047 Customer Data Worksheet Request for Business Partner Record Change	Form	Modified	Available
Form AD-2047 Customer Data Worksheet Request for Business Partner Record Change	Form	Modified	Repair queued
Nonsubstantive change (change worksheet) request - Form AD-2047.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-14	Available
Nonsubstantive change (change worksheet) request - Form AD-2047.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-14	Repair queued
supporting document 2023 FSA 0560-0265_1.docx	Supporting Statement A	Uploaded 2023-12-06	Repair queued
supporting document 2023 FSA 0560-0265_1.docx	Supporting Statement A	Uploaded 2023-12-06	Repair queued
Reporting and Recordkeeping Requirements 2023.xlsm	Supplementary Document	Uploaded 2023-11-15	Available
Reporting and Recordkeeping Requirements 2023.xlsm	Supplementary Document	Uploaded 2023-11-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
183739	Customer Data Worksheet Request for Business Partner Record Change	Form	Modified	Customer Data Worksheet Request for Business Partner Record Change
183739	Customer Data Worksheet Request for Business Partner Record Change	Form	Modified
183739	Customer Data Worksheet Request for Business Partner Record Change	Instruction	Modified

ICR Details

OMB Control No: 0560-0265	ICR Reference No: 202503-0560-001
Status: Active	Previous ICR Reference No: 202308-0560-001
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Customer Data Worksheet Request for Business Partner Record Change
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/18/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/14/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	01/31/2027	01/31/2027
Responses	161,250	0	161,250
Time Burden (Hours)	8,063	0	8,063
Cost Burden (Dollars)	0	0	0

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Abstract: Critical Customer Data is required in order to identify USDA program participants and ensure that benefits are directed to the correct customer and respective Tax Identification Numbers.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 60168	08/31/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 81041	11/21/2023
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Customer Data Worksheet Request for Business Partner Record Change	AD-2047	Customer Data Worksheet Request for Business Partner Record Change

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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	161,250	161,250	0	0	0	0
Annual Time Burden (Hours)	8,063	8,063	0	0	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: No

Burden Reduction Due to:

Short Statement: The burden hours increased by 2,574 due to the increase responses in customer records added since the last OMB approval. It was also due to the increase of the customer records during 2020 pandemic programs. The number of respondents/responses increased by 51,476.

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Annual Cost to Federal Government: $273,736

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.     Yes

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

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Common Form ICR:  No

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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: 03/14/2025

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