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OMB No. 0560-0238
OMB Expiration Date XX/XX/XXXX

(See Page 2 for Privacy Act and Public Burden Statements.)
FSA-2150
(XX-XX-XX)
U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency
Position 6

DEVELOPMENT PLAN

PART A - GENERAL
1.  Name
     
2.  Development:
(a)
Item of Development
(b)
Location
(c)
Estimated Completion
Date
(d)
Total Cost


     
     
     
     

     
     
     
     

     
$      

     
     
     
     


     
     
     
     



     
$          

     
     
     
     

     
     
     
     



     
$          

     
     
     
     

     
     
     
     



     
$          

     
     
     
     

     
     
     
     



     
$          

     
     
     
     

     
     
     
     



     
$          
(e)  TOTAL COST:
$     






PART A – GENERAL (Continued)
3.  Inspections:
(a)
Type of Inspection
(b)
Estimated Date
(c)
Date Final Inspection Provided


     
     
     
     


     
     
     
     



     


     
     
     
     


     
     
     
     



     


     
     
     
     


     
     
     
     



     


     
     
     
     


     
     
     
     



     


     
     
     
     


     
     
     
     



     
4.  SIGNATURE
4A.  Signature
4B.  Date
     
Privacy Act Statement: The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C 552a – as amended). The authority for requesting the information identified on this form is the Pub. L. 117 - 43, the Extending Government Funding and Delivering Emergency Assistance Act and the Pub. L. 117-328, Consolidated Appropriations Act, 2023. The information will be used to provide payments to eligible producers that apply for the Milk Loss Program. 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) and USDA/FSA-14, Applicant/Borrower. Providing the requested information is voluntary. However, failure to furnish the requested information will result in a determination of ineligibility for program benefits and other financial assistance administered by USDA.




Public Burden Statement (Paperwork Reduction Act): According to the Paperwork Reduction Act of 1995, 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 0560-0238.  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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden by emailing to: [email protected].  RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

Non-Discrimination Statement: 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, 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 State or local Agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). 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 athttps://www.usda.gov/oascr/how-to-file-a-program-discrimination-complaint 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, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. 

USDA is an equal opportunity provider, employer, and lender.