View Information Collection (IC)
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Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Farmer Bridge Assistance (FBA) Program
Agency IC Tracking Number:
RIN 0560-AI87; Final Rule:
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
AD-1026
Highly Erodible Land Conservation (HELC) and Wetland Conservation (WC) Certification
AD-1026.pdf
Yes
Yes
Fillable Fileable Signable
Form
CCC0555
FARMER BRIDGE ASSISTANCE (FBA) PROGRAM APPLICATION
CCC0555_260223V01.docx
Yes
Yes
Fillable Fileable Signable
Instruction
CCC0555_eGov_260223V01.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
CCC-901
Member Information for Legal Entities
CCC-901 Member Information for Legal Entities.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
CCC-902E
Farm Operating Plan or an Entity
CCC-902E Farm Operating Plan for Legal Entities.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
CCC-902I
Farm Operating Plan for an Individuals
CCC-902I Farm Operating Plan for Individuals.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
CCC-941
AVERAGE ADJUSTED GROSS INCOME (AGI) CERTIFICATION AND CONSENT TO DISCLOSURE OF TAX INFORMATION
CCC0941_241023V02.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
Privacy Act System of Records
Title:
USDA/FSA-2:
FR Citation:
84 FR 10770
Number of Respondents:
584,700
Number of Respondents for Small Entity:
584,700
Affected Public:
Private Sector
Private Sector:
Farms
Percentage of Respondents Reporting Electronically:
100 %
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
584,700
0
584,700
0
0
0
Annual IC Time Burden (Hours)
197,921
0
197,921
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FBA Generic Justification
FBA Program Generic IC Request 1.20.26 (OCIO passback 1-27-26 clean).docx
01/27/2026
FBA Estimates
FBA Program 85-I 12-22-25.xlsm
01/27/2026
Power of Attorney
FSA-211A.pdf
01/27/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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