Fsa-893 2018 Citrus Actual Production History And Approved Yield

OMB Control No. 0560-0291

This form is available electronically. OMB Expiration Date: 01/31/2019

FSA-893 U.S. DEPARTMENT OF AGRICULTURE Farm Service Agency 2018 CITRUS ACTUAL PRODUCTION HISTORY AND APPROVED YIELD RECORD (FLORIDA ONLY)

1. State

2. County

3. Unit No.

    

     

     

4. Producer’s Name      

PART B – CROP INFORMATION

5. Crop Name

6. Crop Type

7. Intended Use

8. Practice

9. Organic Status

10. Unit of Measure

     

     

     

     

     

     

PART C – ACTUAL PRODUCTION HISTORY (APH)

COC USE ONLY

11. APH Crop Year

12. Planted Acres

13. Actual Production

14. Yield

2017

     

     

     

2016

     

     

     

2015

     

     

     

2014

     

     

     

2013

     

     

     

PART D - APPROVED YIELD (COC USE ONLY)

15. Total Yield (Item 14)

16. No. of APH Crop Years (Item 11)

17. Calculated Yield

     

divided by

     

=

     

PART E- PRODUCER'S CERTIFICATION

18. Remarks

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.

19A. Signature of Producer (By)

19B. Title/Relationship of the Individual Signing in a Representative Capacity

19C. Date (MM-DD-YYYY)

PART F- COC SIGNATURE

20A. Signature of COC Representative

20B. Date (MM-DD-YYYY)

NOTE:

The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a - as amended). The authority for requesting this information is the Bipartisan Budget Act of 2018 (Pub. L. 115-123) and 7 CFR Part 760, Subpart O. The information will be used to determine eligibility for program benefits.  The information collected on this form may be disclosed to other Federal, State, Local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated).  Providing the requested information is voluntary.  However, failure to furnish the requested information will result in a determination of ineligibility for program benefits. Payments may be made under the program to which the form applies only to the extent permitted by applicable authorities. Public Burden Statement (Paperwork Reduction Act): Public reporting burden for this collection is estimated to average 5 minutes per response, including reviewing instructions, gathering and maintaining the data needed, completing (providing the information), and reviewing the collection of information. You are not required to respond to the collection or FSA may not conduct or sponsor a collection of information unless it displays a valid OMB control number. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email:program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.