Information Collection

ISA-Payment of Indemnity

IC 2360 under ICR 202605-0579-001 · OMB 0579-0192.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VS 1-22 ISA Program Enrollment Form ISA-Payment of Indemnity	Form
VS 1-22 ISA Program Enrollment Form VS 1-22 JAN 2012 (20260505).docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 9 CFR 53.4 and 53.10

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VS 1-22				No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	187	-4	191
Annual IC Time Burden (Hours)	544	-5	549
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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