Information Collection

Individuals or Households

IC 1488 under ICR 202611-0565-001 · OMB 0565-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FSA 211 Power of Attorney (POA) Individuals or Households	Form
Form FSA-211A POWER OF ATTORNEY SIGNATURE CONTINUATION SHEET Individuals or Households	Form
FSA0211_Ins_26XXXX(Proposal 3).docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Instruction
FSA0211A_Ins_26XXXX(Proposal 3).docx forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes	Instruction
FSA 211 Power of Attorney (POA) FSA0211-FSA0211A_26XXXX(Proposal 2).docx forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes	Form
FSA-211A POWER OF ATTORNEY SIGNATURE CONTINUATION SHEET FSA0211-FSA0211A_26XXXX(Proposal 2).docx forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes	Form

IC Title:

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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSA 211	https://forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes	Yes	No	Fillable Printable
Instruction		http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Printable Only
Form	FSA-211A	https://forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes	Yes	No	Fillable Printable
Instruction		https://forms.sc.egov.usda.gov/eForms/searchAction.do?pageAction=BrowseForms&_MenuAction=Yes	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	-14,000	16,000
Annual IC Time Burden (Hours)	969	-6,781	7,750
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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