Information Collection

Conservation Effects Assessment Project

IC 1187 under ICR 202604-0535-001 · OMB 0535-0245.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SurveyID: 3641 Conservation Effects Assessment Project - Screener Conservation Effects Assessment Project	Form and Instruction
Form SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire Conservation Effects Assessment Project	Form and Instruction
Form SMETA 3273 Conservation Effects Assessment Project - Chemical & Pesticide Applications Consent Form Conservation Effects Assessment Project	Form and Instruction
Form Survey ID: 9119 Conservation Effects Assessment Project - Quality Control Worksheet Conservation Effects Assessment Project	Form and Instruction
Form SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire Conservation Effects Assessment Project	Form and Instruction
Form SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire Updated CIPSEA Conservation Effects Assessment Project	Form and Instruction
0245 - SAMPLE MAP with NRI CEAP point marked.docx	Other-Sample Map
0245 - Conservation Effects Assessment Project - Respondent Booklet with Intro Letter - January 30, 2024.pdf	Other-Respondent Booklet w/Letter
0245 - Conservation Effects Assessment Project - Respondent Booklet without Intro Letter - January 30, 2024.pdf	Other-Respondent Booklet w/o Letter
SurveyID: 3641 Conservation Effects Assessment Project - Screener 0245 - Conservation Effects Assessment Project - CEAP Screener - January 30, 2024.pdf	Form and Instruction
SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire 0245 - Conservation Effects Assessment Project - CEAP Questionnaire - January 30, 2024.pdf	Form and Instruction
SMETA 3273 Conservation Effects Assessment Project - Chemical & Pes 0245 - Conservation Effects Assessment Project - Contractor Consent Form - January 30, 2024.pdf	Form and Instruction
Survey ID: 9119 Conservation Effects Assessment Project - Quality Contro 0245 - Conservation Effects Assessment Project - Quality Control Form - January 30, 2024.pdf	Form and Instruction
SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire 0245 - Conservation Effects Assessment Project - CEAP Questionnaire - April 28, 2025.pdf	Form and Instruction
SurveyID: 3273 Conservation Effects Assessment Project - Questionnaire 0245 - CEAP - Questionnaire _ Updated CIPSEA.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Conservation Effects Assessment Project

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	SurveyID: 3641	Yes	Yes	Fillable Fileable
Other-Sample Map		No		Paper Only
Form and Instruction	SurveyID: 3273	No		Paper Only
Other-Respondent Booklet w/Letter		No		Paper Only
Other-Respondent Booklet w/o Letter		No		Paper Only
Form and Instruction	SMETA 3273	No		Paper Only
Form and Instruction	Survey ID: 9119	No		Paper Only
Form and Instruction	SurveyID: 3273	No		Paper Only
Form and Instruction	SurveyID: 3273	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title: Privacy Impact Assessment

FR Citation: 74 FR 79

Number of Respondents: 16,000

Number of Respondents for Small Entity: 13,588

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	28,800	0	28,800
Annual IC Time Burden (Hours)	17,120	320	16,800
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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