Certified Mediation Program (7 CFR part 785)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF-425 Federal Financial Report	Form	New	Available
Form SF-424B ASSURANCES - NON-CONSTRUCTION PROGRAMS	Form	New	Available
Form SF-424A BUDGET INFORMATION - Non-Construction Programs	Form	New	Available
Form SF-424 Application for Federal Assistance	Form	New	Available
Form SF-270 REQUEST FOR ADVANCE OR REIMBURSEMENT	Form	New	Available
Form SF-425 Federal Financial Report	Form	Modified	Available
Form SF-424B ASSURANCES - NON-CONSTRUCTION PROGRAMS	Form	Modified	Available
Form SF-424A BUDGET INFORMATION - Non-Construction Programs	Form	Modified	Available
Form SF-424 Application for Federal Assistance	Form	Modified	Available
Form SF-270 REQUEST FOR ADVANCE OR REIMBURSEMENT	Form	Modified	Available
Supporting Statement Part A - 0560-0165- 2026.docx	Supporting Statement A	Uploaded 2026-10-29	Available
Certified Mediation Progran - burden grid with hour changes -10.23.2026.xlsm	Supplementary Document	Uploaded 2026-10-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
282352	Certified Mediation Program (7 CFR part 785) - State Govt	Form	New	Federal Financial Report
282352	Certified Mediation Program (7 CFR part 785) - State Govt	Form	New	ASSURANCES - NON-CONSTRUCTION PROGRAMS
282352	Certified Mediation Program (7 CFR part 785) - State Govt	Form	New	BUDGET INFORMATION - Non-Construction Programs
282352	Certified Mediation Program (7 CFR part 785) - State Govt	Form	New	Application for Federal Assistance
282352	Certified Mediation Program (7 CFR part 785) - State Govt	Form	New	REQUEST FOR ADVANCE OR REIMBURSEMENT
1421	Certified Mediation Program (7 CFR part 785) - Private Sector	Form	Modified	Federal Financial Report
1421	Certified Mediation Program (7 CFR part 785) - Private Sector	Form	Modified	ASSURANCES - NON-CONSTRUCTION PROGRAMS
1421	Certified Mediation Program (7 CFR part 785) - Private Sector	Form	Modified	BUDGET INFORMATION - Non-Construction Programs
1421	Certified Mediation Program (7 CFR part 785) - Private Sector	Form	Modified	Application for Federal Assistance
1421	Certified Mediation Program (7 CFR part 785) - Private Sector	Form	Modified	REQUEST FOR ADVANCE OR REIMBURSEMENT

ICR Details

OMB Control No: 0560-0165	ICR Reference No: 202609-0560-002
Status: Received in OIRA	Previous ICR Reference No: 202309-0560-001
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Certified Mediation Program (7 CFR part 785)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/03/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2027
Responses	552	504
Time Burden (Hours)	1,334	2,772
Cost Burden (Dollars)	0	0

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Abstract: The USDA Agricultural Mediation Program (AMP) is mandated by Subtitles A and B of Title V of the Agricultural Act of 1987 (Pub. L. 100-223), as amended. Under the program, USDA make grants to state-designated entities that provide mediation to agricultural producers, their lenders and others directly affected by the actions of certain USDA agencies.

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Authorizing Statute(s): PL: Pub.L. 100 - 233 33 Name of Law: Agricultural Credit Act of 1987
  

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:
	91 FR 40513	07/02/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 68926	11/02/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Certified Mediation Program (7 CFR part 785) - Private Sector	SF-424, SF-270, SF-424A, SF-424B, SF-425	REQUEST FOR ADVANCE OR REIMBURSEMENT ,   Application for Federal Assistance ,   BUDGET INFORMATION - Non-Construction Programs ,   ASSURANCES - NON-CONSTRUCTION PROGRAMS ,   Federal Financial Report
Certified Mediation Program (7 CFR part 785) - State Govt	SF-424, SF-270, SF-424A, SF-424B, SF-425	REQUEST FOR ADVANCE OR REIMBURSEMENT ,   Application for Federal Assistance ,   BUDGET INFORMATION - Non-Construction Programs ,   ASSURANCES - NON-CONSTRUCTION PROGRAMS ,   Federal Financial Report

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	552	504	0	0	48	0
Annual Time Burden (Hours)	1,334	2,772	0	0	-1,438	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: FSA is requesting an extension of a currently approved information collection. The current burden inventory is 42 estimated annual respondents: 504 estimated annual responses and 2,772 estimated annual burden hours. With this extension the agency is seeking 46 estimated annual respondents, 552 estimated annual responses and 1,334 estimated annual burden hours. This reflects an increase in the number of estimated respondents 4, increase in the estimated number of responses 48 and a decrease in the number of estimated annual burden hours 1,438 since the last OMB submission. The estimated number of respondents and burden hours have been updated to reflect these changes. The increase in the request is due to adjustments because the number of certified mediation programs has increased in the past several years.

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Annual Cost to Federal Government: $83,678

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.     No

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: 11/03/2026

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