View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Coronavirus Food Assistance Program (CFAP)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
7 CFR 9
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
AD-3117
CORONAVIRUS FOOD ASSISTANCE Program 2.0
AD3117_20XXXXV01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Fileable
Instruction
AD3117 instruction .pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Printable Only
Form
CCC-901
Member's Information
CCC0901_190416V01 (2).pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Printable Only
Form
CCC-902I
FARM OPERATING PLAN FOR AN INDIVIDUAL
CCC0902I_200928V01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Fileable
Form
CCC-902E
FARM OPERATING PLAN FOR AN ENTITY
CCC0902E_200928V01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Fileable
Form
CCC-941
AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION
CCC0941_200921V01.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Fileable
Form
CCC-942
CERTIFICATION OF INCOME FROM FARMING, RANCHING AND FORESTRY OPERATIONS
CCC0942_200812V02.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
Yes
Fillable Fileable
Instruction
CCC0942Egov_instruction.pdf
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Printable Only
Form
AD-3117 Spanish form
CFAP 2.0
AD3117_210119V01 UNLOCKED_SPA.docx
http://forms.sc.egov.usda.gov/eforms/mainservlet
Yes
No
Fillable Fileable
Instruction
AD3117eGov_01-19-21V01_SPA.docx
http://forms.sc.egov.usda.gov/eforms/mainservlet
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:
181,600
Number of Respondents for Small Entity:
4,057
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms
Percentage of Respondents Reporting Electronically:
25 %
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
291,179
0
291,179
0
0
0
Annual IC Time Burden (Hours)
49,385
0
49,385
0
0
0
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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