CLAIM FOR CITRUS INDEMNITY

ICR 197905-0563-001

OMB: 0563-0002

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
100458 Migrated
ICR Details
0563-0002 197905-0563-001
Historical Active 197406-0563-001
USDA/FCIC
CLAIM FOR CITRUS INDEMNITY
Extension without change of a currently approved collection   No
Regular
Approved without change 06/11/1979
Retrieve Notice of Action (NOA) 05/24/1979
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983 06/30/1979
2,500 0 2,500
625 0 625
0 0 0

THE CROP INSURANCE POLICY PROVIDES THAT ANY CLAIM FOR LOSS SHALL BE SUBMITTED BY THE INSURED ON A FORM PRESCRIBED BY THE CORPORATION. THE FORM IS USED IN ADJUSTING LOSSES DUE TO NSURED CAUSES UNDER THE CITRUS CROP INSURANCE PROGRAM. INSUREDS, WITH THE ASSISTANCE OF THE ADJUSTER WILL ESTABLISH AND RECORD DATA REQUIRED TO DETERMINE THE AMOUNT OF LOSS.

None
None


No

1
IC Title Form No. Form Name
CLAIM FOR CITRUS INDEMNITY FCI-63, CITRUS

  Total Approved 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 2,500 2,500 0 0 0 0
Annual Time Burden (Hours) 625 625 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/24/1979


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