INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-I: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
0560-0297 |
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| Coronavirus Food Assistance Program (CFAP 2) |
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| DATE PREPARED |
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| January 25, 2023 |
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| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
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RECORDS |
RESPONDENT COST |
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TOTAL BURDEN HOURS |
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TOTAL |
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FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
(Col. F x G) |
NO. OF |
ANNUAL |
RECORD- |
COST |
TOTAL |
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| SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
(H) |
RECORD- |
HOURS PER |
KEEPING HOURS |
PER |
COST |
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| REGS. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
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KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
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RESPONDENT |
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EXEMPT |
NON-EXEMPT |
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KEEPER |
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| (A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
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(I) |
(J) |
(K) |
(L) |
(M) |
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| 7 CFR part 9 |
Coronavirus Food Assistance Program 2 (CFAP 2) Application (also include the continuation sheets of AD-3117A and AD-3117B) |
AD-3117 |
860,154 |
1 |
860,154 |
1.00 |
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860,154 |
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$53.71 |
46,198,871 |
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| 7 CFR part 1400 |
Farm Operating Plan for Payment Eligibility (Parts A & B) |
CCC-902I |
96,062 |
1 |
96,062 |
0.08 |
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7,685 |
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$53.71 |
412,759 |
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| 7 CFR part 1400 |
Farm Operating Plan for Payment Eligibility (Parts A & B) |
CCC-902E |
96,062 |
1 |
96,062 |
0.08 |
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7,685 |
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$53.71 |
412,759 |
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| 7 CFR part 1400 |
Average Adjusted Gross Income (AGI) Certification and Consent to Disclosure of Tax Information |
CCC-941 |
182,015 |
1 |
182,015 |
0.25 |
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45,504 |
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$53.71 |
2,444,006 |
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| 7 CFR part 1400 |
Certification of Income From Farming, Ranching and Forestry Operations, optional |
CCC-942 |
8,008 |
1 |
8,008 |
0.25 |
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2,002 |
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$53.71 |
107,527 |
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| 7 CFR part 1400 |
Member Information for Legal Entities, if applicable |
CCC-901 |
11,008 |
1 |
11,008 |
0.50 |
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5,504 |
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$53.71 |
295,620 |
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| 7 CFR part 2 |
Highly Erodible Land Conservation (HELC) and Wetland Conservation Certification (exempt from PRA 16 U.S.C. 3846) |
AD-1026 |
80,301 |
1 |
80,301 |
0.08 |
6,424 |
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$53.71 |
0 |
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| 7 CFR 9.203 |
Socially Disadvantaged, Limited Resource, Beginning and Veteran Farmer or Rancher Certification |
CCC-860 |
96,973 |
1 |
96,973 |
0.10 |
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9,697 |
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$53.71 |
520,842 |
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SUBTOTAL |
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1,350,282 |
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0 |
937,640 |
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0.00 |
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50,392,385 |
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TOTAL OF ALL PAGES |
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1,350,282 |
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0 |
937,640 |
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0.00 |
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50,392,385 |
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| TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c |
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1,350,282 |
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937,640 |
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