Multiple Peril Crop Insurance

Forms and Documents

Document Name	Status
0563-0053 rev-SuptStmt 8-21-12.docx Supporting Statement A	2012-09-20
0563-0053 renewal - Q-15 breakdown rev 8-10-12.xlsm Supplementary Document	2012-09-19
P58 Notice of Loss.pdf Supplementary Document	2012-03-21
P57 Quality Control Reporting.pdf Supplementary Document	2012-03-21
P56 Adjuster Data Record.pdf Supplementary Document	2012-03-21
P55 Agent Data Record.pdf Supplementary Document	2012-03-21
P54 Employee Data Record.pdf Supplementary Document	2012-03-21
P51 Conflict of Interest.pdf Supplementary Document	2012-03-21
P49 Policy Delete.pdf Supplementary Document	2012-03-21
P48 Record Type Delete.pdf Supplementary Document	2012-03-21
P27A Land Other Person Sharing.pdf Supplementary Document	2012-03-21
P22 Inventory Loss Record.pdf Supplementary Document	2012-03-21
P21 Loss Line Record.pdf Supplementary Document	2012-03-21
P20 Loss Total Record.pdf Supplementary Document	2012-03-21
P15 Yield History Record.pdf Supplementary Document	2012-03-21
P14 Insurance in Force.pdf Supplementary Document	2012-03-21
P13 Inventory Value.pdf Supplementary Document	2012-03-21
P12 Payment Record.pdf Supplementary Document	2012-03-21
P11 Acreage Record.pdf Supplementary Document	2012-03-21
P10 Policy Record.pdf Supplementary Document	2012-03-21
P09 Fund Designation Record.pdf Supplementary Document	2012-03-21
CIMS Request Record.pdf Supplementary Document	2012-03-21
Type 81 - Policyholder Tracking Experience Inquiry.pdf Supplementary Document	2012-03-21
Data Acceptance Narrative.pdf Supplementary Document	2012-03-21
0563-0053 Spreadsheet 8-10-12-rev.xlsm Supplementary Document	2012-09-19
Documents Standards Handbook.pdf Supplementary Document	2008-06-09

IC Document Collections

IC ID	Document Title	Status
36879	Private Sector - Farms	Modified
185265	State, Local, and Tribal Governments	Removed
185264	Companies, Agents & Loss Adjusters	Modified

ICR Details

OMB Control No: 0563-0053	ICR Reference No: 201209-0563-005
Status: Historical Active	Previous ICR Reference No: 201201-0563-001
Agency/Subagency: USDA/FCIC	Agency Tracking No:
Title: Multiple Peril Crop Insurance
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/14/2013
	Date Received in OIRA: 09/20/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved	01/31/2013
Responses	10,821,716	0	4,335,105
Time Burden (Hours)	8,141,903	0	1,788,974
Cost Burden (Dollars)	281,500,001	0	113,820,000

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Abstract: This ICR is necessary for administering the crop insurance program and to determine insurance coverage, premiums, subsidies, payments and indemnities.

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Authorizing Statute(s): US Code: 7 USC 1501 Name of Law: Federal Crop Insurance Act
  

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:
	76 FR 67129	10/31/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 17402	03/26/2012
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Companies, Agents & Loss Adjusters
Private Sector - Farms
State, Local, and Tribal Governments

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ICR Summary of Burden

	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	10,821,716	4,335,105	0	-1,050	6,487,661	0
Annual Time Burden (Hours)	8,141,903	1,788,974	0	-333	6,353,262	0
Annual Cost Burden (Dollars)	281,500,001	113,820,000	0	0	167,680,001	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: New program personnel corrected calculation and figures previously used for respondents versus responses and the per response times were re-evaluated. termination of some crop programs and the addition of new policies have resulted in a decrease of respondents but a net increase in the burden hours and responses. The State, Local and Tribal IC is no longer needed and its removal within ROCIS resulted in a program change decrease.

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Annual Cost to Federal Government: $5,738,527

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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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: 09/20/2012

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