Information Collection

Farmer Bridge Assistance (FBA) Program

IC 278717 under ICR 202509-0503-001 · OMB 0503-0028.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AD-1026 Highly Erodible Land Conservation (HELC) and Wetland Conservation (WC) Certification Farmer Bridge Assistance (FBA) Program	Form and Instruction
Form CCC0555 FARMER BRIDGE ASSISTANCE (FBA) PROGRAM APPLICATION Farmer Bridge Assistance (FBA) Program	Form
Form CCC-901 Member Information for Legal Entities Farmer Bridge Assistance (FBA) Program	Form and Instruction
Form CCC-902E Farm Operating Plan or an Entity Farmer Bridge Assistance (FBA) Program	Form and Instruction
Form CCC-902I Farm Operating Plan for an Individuals Farmer Bridge Assistance (FBA) Program	Form and Instruction
Form CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION Farmer Bridge Assistance (FBA) Program	Form and Instruction
CCC0555_eGov_260223V01.docx	Instruction
AD-1026 Highly Erodible Land Conservation (HELC) and Wetland Con AD-1026.pdf	Form and Instruction
CCC0555 FARMER BRIDGE ASSISTANCE (FBA) PROGRAM APPLICATION CCC0555_260223V01.docx	Form
CCC-901 Member Information for Legal Entities CCC-901 Member Information for Legal Entities.pdf	Form and Instruction
CCC-902E Farm Operating Plan or an Entity CCC-902E Farm Operating Plan for Legal Entities.pdf	Form and Instruction
CCC-902I Farm Operating Plan for an Individuals CCC-902I Farm Operating Plan for Individuals.pdf	Form and Instruction
CCC-941 AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CO CCC0941_241023V02.pdf	Form and Instruction
FBA Program Generic IC Request 1.20.26 (OCIO passback 1-27-26 clean).docx FBA Generic Justification	IC Document
FBA Program 85-I 12-22-25.xlsm FBA Estimates	IC Document
FSA-211A.pdf Power of Attorney	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Farmer Bridge Assistance (FBA) Program

Agency IC Tracking Number:

RIN 0560-AI87; Final Rule:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	AD-1026	Yes	Yes	Fillable Fileable Signable
Form	CCC0555	Yes	Yes	Fillable Fileable Signable
Instruction		Yes	Yes	Fillable Fileable Signable
Form and Instruction	CCC-901	Yes	Yes	Fillable Fileable Signable
Form and Instruction	CCC-902E	Yes	Yes	Fillable Fileable Signable
Form and Instruction	CCC-902I	Yes	Yes	Fillable Fileable Signable
Form and Instruction	CCC-941	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title: USDA/FSA-2:

FR Citation: 84 FR 10770

Number of Respondents: 584,700

Number of Respondents for Small Entity: 584,700

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	584,700	584,700
Annual IC Time Burden (Hours)	197,921	197,921
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FBA Generic Justification		01/27/2026
FBA Estimates		01/27/2026
Power of Attorney		01/27/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].