AMS-28 USDA Hemp Plan Producer Annual Report

REPRODUCE LOCALLY. USDA PRODUCER ANNUAL REPORT.

OMB No. 0581-0318

UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
USDA DOMESTIC HEMP PRODUCTION PROGRAM
USDA PRODUCER ANNUAL REPORT
Hemp producers licensed by the U.S. Department of Agriculture (USDA) must submit this form
to USDA by December 15th of each calendar year. Please include data from all production areas
and harvest cycles throughout the year. Only include data on hemp planted, disposed, and
harvested under a USDA (not State or Tribal) license.
Below is a description of each data point needed:
•

Producer or Business Name: This is the license holder name as it appears on the license
certificate.

•

USDA License Number: This is the license number as it appears on the license
certificate. This number will be in the following format: USDA_XX_XXXX.

•

Farm Number, Tract Number, Field Number, Subfield Number: This information is
provided as part of the USDA Farm Service Agency (FSA) land registration process. Each
licensed producer must register the growing location with FSA to receive these numbers.

•

Total Planted (Outdoor Acres or Indoor Sq Ft): This is the total planted growing area
expressed in acres if measuring outdoor production or square feet if measuring indoor
production.

•

Total Disposed (Outdoor Acres or Indoor Sq Ft): This is the total area disposed for noncompliant THC levels expressed in acres if measuring outdoor production or square feet if
measuring indoor production. This number excludes disposals due to damage from
weather, pests, etc.

•

Total Harvested (Outdoor Acres or Indoor Sq Ft): This is the total area harvested
expressed in acres or square feet. This includes any material that was successfully
remediated through an approved remediation method and was permitted to enter into the
stream of commerce.

•

Intended End Use (CBD, Fiber, Grain, Seed, Propagative Material): Include all end uses
that apply to location.

•

Explain any Discrepancies in Data (i.e. Weather, Pests): This is the explanation of any
discrepancies between Total Planted and Total Disposed due to weather, poor germination,
or any other type of destruction that was not the result of a disposal due to a non-compliant
THC test result.

•

If outdoor area is less than one acre, estimate land area and present this figure as a decimal
(1/2 acre = .5, 1/4 acre = .25, etc.)

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REPRODUCE LOCALLY. USDA PRODUCER ANNUAL REPORT.

OMB No. 0581-0318

This form shall be submitted to the USDA using a digital format compatible with USDA’s
information sharing systems, whenever possible. All information submitted must be accurate,
legible, and complete. If submission through the USDA information sharing system is not
possible, please submit form to:
By Mail:
USDA/AMS/Specialty Crops Program
Hemp Branch
470 L’Enfant Plaza S.W.
P.O. Box 23192
Washington, D.C. 20026

Or via Email at:
Forms.Hemp@usda.gov

Or via Fax at:
(202) 720-8938

The following statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. § 552a) and the
Paperwork Reduction Act of 1995. The authority for requesting this information to be supplied on this form
is the 7 CFR Part 990 Domestic Hemp Program (Program). The purpose of collecting this information is for
USDA to administer the Program and the information provided on this form will be used to monitor
Program participants. Failure to provide the information requested on this form may result in ineligibility to
participate in the Program.
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 OMB 0581-0318. The time required to complete this information collection is estimated to average 20
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.
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.
AMS-28 (XX/20XX) Exp: XX/20XX
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REPRODUCE LOCALLY. USDA PRODUCER ANNUAL REPORT.

OMB No. 0581-0318

Name of Licensee: __________________________________ USDA License Number: _____________________
Primary Address: ___________________________
Street

________________
City

________________
State

________________________
Zip Code

Signature of Licensee or Representative: ________________________ Date Submitted: ________________
Farm
Number

Tract
Number

Field
Number

Subfield
Number
(if Applicable)

Location
Type
(Greenhouse/
Indoor, or
Field/Outdoor)

Total Planted
(Acres or Sq Ft.)

Total Disposed
for NonCompliance
(Acres or Sq Ft.)

Total
Harvested
(Acres or Sq
Ft.)

_______ Acres
or

_______ Acres
or

_______ Acres
or

_______ Sq Ft

_______ Sq Ft

_______ Sq Ft

_______ Acres
or

_______ Acres
or

_______ Acres
or

_______ Sq Ft

_______ Sq Ft

_______ Sq Ft

_______ Acres
or

_______ Acres
or

_______ Acres
or

_______ Sq Ft

_______ Sq Ft

_______ Sq Ft

Intended
End Use
(CBD, Fiber,
Grain, Seed,
Propagative
Material. List
all.)

Explain any
Discrepancies in
Data
(i.e. Weather,
Pests)

Use additional lines as necessary.

AMS-28 (XX/20XX) Exp: XX/20XX

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