View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Assignments of Payments and Joint Payment Authorization
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
7 CFR 1404
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CCC-251
Notice of Assignment
CCC0251_180824V01.pdf
No
Paper Only
Form
CCC-252
Instrument of Assignment
CCC0252_180824V01 (1).pdf
No
Paper Only
Form
CCC-37
Joint Payment Authorization
CCC-37.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Fillable Printable
Form
CCC-36 (Spanish)
Assignment of Payment
ccc-36 Spanish.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Fillable Printable
Form
CCC-37 (Spanish)
Joint Payment Authorization
CCC0037Spanish_210601V02 (1).pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Fillable Printable
Instruction
CCC0036_eGov_05-28-21V01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Printable Only
Instruction
CCC0037eGov_05-28-21V01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Printable Only
Instruction
CCC0036Spanish_eGov_06-01-21V02.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Printable Only
Instruction
CCC0037Spanish_eGov06-01-21V01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Printable Only
Form
FPAC-FM-12
Request for FSA AND NRCS payments of Federal benefits by check (Request for Waiver)
FPAC-FMD0012_210614V01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Fillable Printable
Form
CCC-36
Assignment of Payment
CCC0036 (2).pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Fileable
Instruction
FSA-252 Instruction.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Agricultural Innovation and Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
700,491
Number of Respondents for Small Entity:
2,000
Affected Public:
Private Sector
Private Sector:
Farms
Percentage of Respondents Reporting Electronically:
5 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
700,491
0
0
0
0
700,491
Annual IC Time Burden (Hours)
116,687
0
0
0
0
116,687
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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