CCC-452 Actual Production History and Approved Yield Record

This form is available electronically. Form Approved – OMB No. 0560-0175

CCC-452 Manual U.S. DEPARTMENT OF AGRICULTURE

_{(proposal 2)}

Commodity Credit Corporation

NAP ACTUAL PRODUCTION HISTORY AND APPROVED YIELD RECORD See Page 2 for Privacy Act and Paperwork Reduction Act Statements.

1. Crop Year     

2. Unit No.      

PART A - GENERAL INFORMATION

3A. Producer(s) Name

3B. Telephone Number (Include Area Code)

3C. Identification Number (Last 4 Digits)

(1)      

     

    

(2)      

     

    

(3)      

     

    

(4)      

     

    

(5)      

     

    

4. Spotcheck Required? YES NO

5A. County FSA Office Name      

5B. State and County Codes      

6. Native Sod Conversion? YES NO

PART B- UNIT AND CROP IDENTIFICATION

7. Crop Name      

8. Crop Type      

9. Planting Period      

10. FSA Practice (“I” for Irrigated or “N” for Nonirrigated)     

11. Intended Use      

12. Organic Status Conventional Transitional USDA Certified

13. Unit of Measure      

14. Do Yield Limitation Rules Apply? YES NO

15. County Expected Yield/T-Yield      

16. If Applicable, COC Adjusted T-Yield and Reason Code (COC Use Only)

16A. Adjusted Yield      

16B. Reason Code: (Check One)

16C. Date of COC Minutes      

Inconsistent farming/management practices Age of stand/trees Multiple County T-Yield Variations

Topography Soil Type Elevation

PART C - ACTUAL PRODUCTION HISTORY

17. APH Crop Year

18. Eligible Disaster?

19. Acres Planted

20. Actual Production

21. Record Type 1/

COC USE ONLY

YES

NO

22. Yield

23. Yield Type 2/

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

    

     

     

 

     

 

PART D - APPROVED YIELD (COC USE ONLY)

24. Total Yield (Item 22)

25. No. of APH Crop Years (Item 17)

26. Calculated Yield

27. Prior Crop Year Approved Yield

28. Cup Percentage

29. Yield Cup

30. If Item 14 is:

A. YES, enter the higher of Item 26 of Item 29      

     divided by

     =

     

      x

      =

     

B. NO, enter amount from Item 26      

1 / RECORD TYPES: 1 - Production sold/commercial storage 2 - On farm storage, measurement 3 - Livestock feeding records 4 - Appraisal 5 - Other - Identify in Item 31, Remarks

2 / YIELD TYPES: A - Actual yield B - Bypass Year C - Added practice/type/intended use/planting period/unit E - 80% of T-yield I - 100% of T-yield for new producer of crop N - 90% of T-yield O - Zero credited yield

P - 75% of previous year approved yield Q - COC special request R - Replacement yield S - 65% of the T-yield T - 100% of the T-yield U - Substitute yield V - Substitute yield Z - Zero acres planted

CCC-452 Manual (proposal 2) Page 2 of 2

PART E - REMARKS AND ACTUAL INFORMATION
31. Remarks
     
NOTE:	The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting the following information is the Agricultural Act of 1996, as amended, the Commodity Credit Corporation Charter Act, the regulations promulgated thereunder (7 CFR Part 1437), and the Internal Revenue Code (26 USC 6109). The requested information is necessary for CCC to consider and process a request for assistance under the Noninsured Crop Disaster Assistance Program and to assist in determining eligibility. Furnishing the requested information is voluntary; however, failure to furnish correct information will result in rejection of the request. This information may be provided to other agencies, IRS, Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 USC 286, 287, 371, 641, 651, 1001; 15 USC 714m; and 31 USC 3729, may be applicable to the information provided. 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 0560-0175. The time required to complete this information collection is estimated to average 5 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. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
PART F- PRODUCER'S CERTIFICATION
I hereby certify that the information included on this form includes a complete and accurate record of actual production history. The actual production history is accurately identified to the unit, crop and crop years shown. I understand that the information on this form may be spot checked and failure to certify accurately may result in a loss of program benefits. Additionally, I direct the purchaser, warehouse operator, ginner, or any person who otherwise stores or purchases crop production identified on this form to disclose those storage or purchase records of the identified crop to USDA representatives for the purpose of verification of production. I understand that the payment yield may be different than the approved yield if the unit acreage increases or plant density changes.
32A. Signature of Producer (BY)			32B. Title/Relationship of the Individual Signing in a Representative Capacity		32C. Date (MM-DD-YYYY)
			     		     
33A. Signature of COC Representative		33B. Date (MM-DD-YYYY)		33C. County FSA Office Name and Address
		     		     
				Telephone No. (Include Area Code):      

The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the basis of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) Persons with disabilities, who wish to file a program complaint, write to the address below or if you require alternative means of communication for program information (e.g., Braille, large print, audiotape, etc.) please contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program complaint, please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter by mail to U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov. USDA is an equal opportunity provider and employer.