This form is available electronically.  | 
			
				  | 
		||||||||||||||||
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
  | 
			1. OMB No.  | 
			0560-NEW  | 
			2. Title of Clearance  | 
			General Program Administrartion Page 1  | 
			
				  | 
		||||||||||||
				  | 
			
				  | 
			
				  | 
		|||||||||||||||
				 3. 
  | 
			
				 4. 
  | 
			
				 5. 
  | 
			
				 6. 
  | 
			
				 7. 
  | 
			Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)  | 
			
				  | 
		|||||||||||
Description (Title of Form, Report or Record)  | 
			Report 
  | 
			Record
  | 
			Form No. 
  | 
			Regulation Part/Sec.  | 
			
				 8. 
  | 
			
				 9. 
  | 
			
				 10. 
  | 
			
				 11. 
  | 
			12. Total Burden Hours  | 
			
				  | 
		|||||||
				  | 
		|||||||||||||||||
				  | 
			
				  | 
			
				  | 
			
				  | 
			
				  | 
			No. of Respondents  | 
			No. of Reports Filed Per Person  | 
			Total Annual Responses  | 
			
				 Average Time to Respond 60  | 
			
				 Exempt  | 
			Non-Exempt  | 
			
				  | 
		||||||
FBP - Balance sheet - YEA, limited resource review  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			761.102; 761.105  | 
			37,699*  | 
			1  | 
			37,699  | 
			1  | 
			
  | 
			37,699  | 
			
				  | 
		||||||
FBP - Balance sheet - loan making requests - individual  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			764.51  | 
			18,025* 37 (e)*  | 
			1  | 
			18,062  | 
			75  | 
			
  | 
			22,578  | 
			
				  | 
		||||||
FBP - Balance sheet - loan making requests – entity membr.  | 
			
				  | 
			
				  | 
			FSA-2037 (Farmer)  | 
			764.51  | 
			7,838*  | 
			1  | 
			7,838  | 
			75  | 
			
				  | 
			9,798  | 
			
				  | 
		||||||
FBP - Balance sheet - loan closing >90 days – individual  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			764.401  | 
			1,800  | 
			1  | 
			1,800  | 
			15  | 
			
  | 
			450  | 
			
				  | 
		||||||
FBP - Balance sheet - loan closing >90 days – entity memb.  | 
			
				  | 
			
				  | 
			FSA-2037 (Farmer)  | 
			764.401  | 
			540  | 
			1  | 
			540  | 
			15  | 
			
				  | 
			135  | 
			
				  | 
		||||||
FBP - Balance sheet - adverse decision update  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			764.402  | 
			25  | 
			1  | 
			25  | 
			15  | 
			
  | 
			6  | 
			
				  | 
		||||||
FBP - Balance sheet - graduation review  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			765.101  | 
			11,577*  | 
			1  | 
			11,577  | 
			60  | 
			
  | 
			11,577  | 
			
				  | 
		||||||
FBP - Balance sheet - subordin. request – individual  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			765.205  | 
			6,974*  | 
			1  | 
			6,974  | 
			10  | 
			
  | 
			1,186  | 
			
				  | 
		||||||
FBP - Balance sheet - subordin. request – entity member  | 
			
				  | 
			
				  | 
			FSA-2037 (Farmer)  | 
			765.205  | 
			2,092*  | 
			1  | 
			2,092  | 
			10  | 
			
				  | 
			356  | 
			
				  | 
		||||||
FBP - Balance sheet - transfer and assumption  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			765.404  | 
			150*  | 
			1  | 
			150  | 
			60  | 
			
  | 
			150  | 
			
				  | 
		||||||
FBP - Balance sheet - primary loan servicing – individual  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			766.102 (a)  | 
			2,858*  | 
			1  | 
			2,858  | 
			60  | 
			
  | 
			2,858  | 
			
				  | 
		||||||
FBP - Balance sheet - primary loan servicing – entity memb.  | 
			
				  | 
			
				  | 
			FSA-2037 (Farmer)  | 
			766.102 (a)  | 
			858*  | 
			1  | 
			858  | 
			60  | 
			
				  | 
			858  | 
			
				  | 
		||||||
FBP - Balance sheet - financially distressed  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			766.102 (d)  | 
			22  | 
			1  | 
			22  | 
			15  | 
			
  | 
			6  | 
			
				  | 
		||||||
FBP - Balance sheet - shared appreciation – individual  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			766.204  | 
			54*  | 
			1  | 
			54  | 
			60  | 
			
  | 
			54  | 
			
				  | 
		||||||
FBP - Balance sheet - shared appreciation – entity member  | 
			
				  | 
			
				  | 
			FSA-2037 (Farmer)  | 
			766.204  | 
			18*  | 
			1  | 
			18  | 
			60  | 
			
				  | 
			18  | 
			
				  | 
		||||||
FBP - Balance sheet - voluntary conveyance – individual  | 
			
  | 
			
  | 
			FSA-2037 (Farmer)  | 
			766.353; 766.354  | 
			11*  | 
			1  | 
			11  | 
			30  | 
			
  | 
			6  | 
			
				  | 
		||||||
FBP - Balance sheet - voluntary conveyance – entity member  | 
			
				  | 
			
				  | 
			FSA-2037 (Farmer)  | 
			766.353; 766.354  | 
			3*  | 
			1  | 
			3  | 
			30  | 
			
				  | 
			2  | 
			
				  | 
		||||||
SUBTOTALS   | 
			88,194  | 
			
  | 
			90,581  | 
			
				  | 
			
  | 
			87,737  | 
			
				  | 
		||||||||||
This form is available electronically.  | 
		|||||||||||||||||
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
  | 
			1. OMB No.  | 
			0560-NEW  | 
			2. Title of Clearance  | 
			General Program Administrartion Page 2  | 
		|||||||||||||
				  | 
			
				  | 
		||||||||||||||||
				 3. 
  | 
			
				 4. 
  | 
			
				 5. 
  | 
			
				 6. 
  | 
			
				 7. 
  | 
			Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)  | 
		||||||||||||
Description (Title of Form, Report or Record)  | 
			Report 
  | 
			Record
  | 
			Form No. 
  | 
			Regulation Part/Sec.  | 
			
				 8. 
  | 
			
				 9. 
  | 
			
				 10. 
  | 
			
				 11. 
  | 
			12. Total Burden Hours  | 
		||||||||
				  | 
			
				  | 
			
				  | 
			
				  | 
			
				  | 
			No. of Respondents  | 
			No. of Reports Filed Per Person  | 
			Total Annual Responses  | 
			
				 Average Time to Respond 
  | 
			
				 Exempt  | 
			Non-Exempt  | 
		|||||||
FBP - Income and Expense - typical plan  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			761.2(b)  | 
			325  | 
			1  | 
			325  | 
			15  | 
			
  | 
			81  | 
		|||||||
FBP - Income and Expense - YEA, limited resource review  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			761.102; .104;.105  | 
			37,699  | 
			1  | 
			37,699  | 
			90  | 
			
  | 
			56,549  | 
		|||||||
FBP - Income and Expense - loan making requests  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			764.51(b)& (c)  | 
			18,020 42 (e)  | 
			1  | 
			18,062  | 
			90  | 
			
  | 
			27,093  | 
		|||||||
FBP - Income and Expense - adverse decision update  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			764.401 (c)  | 
			25  | 
			1  | 
			25  | 
			15  | 
			
  | 
			6  | 
		|||||||
FBP - Income and Expense - loan closing >90 days  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			764.402 (a)  | 
			1,800  | 
			1  | 
			1,800  | 
			15  | 
			
  | 
			450  | 
		|||||||
FBP - Income and Expense - graduation review  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			765.101  | 
			11,577  | 
			1  | 
			11,577  | 
			90  | 
			
  | 
			17,366  | 
		|||||||
FBP - Income and Expense - subordination request  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			765.205 (a) & (b)  | 
			6,974  | 
			1  | 
			6,974  | 
			10  | 
			
  | 
			1,186  | 
		|||||||
FBP - Income and Expense - junior lien request  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			765.206  | 
			740*  | 
			1  | 
			740  | 
			10  | 
			
  | 
			126  | 
		|||||||
FBP - Income and Expense - severance agreement request  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			765.207  | 
			740*  | 
			1  | 
			740  | 
			10  | 
			
  | 
			126  | 
		|||||||
FBP - Income and Expense - cease operating security  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			765.253  | 
			740*  | 
			1  | 
			740  | 
			30  | 
			
  | 
			370  | 
		|||||||
FBP - Income and Expense - transfer and assumption  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			765.404  | 
			150  | 
			1  | 
			150  | 
			90  | 
			
  | 
			225  | 
		|||||||
FBP - Income and Expense - release of liability w/transfer  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			765.406  | 
			150*  | 
			1  | 
			150  | 
			30  | 
			
  | 
			75  | 
		|||||||
FBP - Income and Expense - request for disaster set-aside  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			766.52(a)  | 
			945*  | 
			1  | 
			945  | 
			90  | 
			
  | 
			1,418  | 
		|||||||
FBP - Income and Expense -primary loan servicing request  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			766.102 (a)  | 
			2,858  | 
			1  | 
			2,858  | 
			90  | 
			
  | 
			4,287  | 
		|||||||
FBP - Income and Expense - financially distressed  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			766.102 (d)  | 
			22  | 
			1  | 
			22  | 
			15  | 
			
  | 
			6  | 
		|||||||
SUBTOTALS   | 
			3,315  | 
			
  | 
			82,807  | 
			
				  | 
			
  | 
			109,364  | 
		|||||||||||
This form is available electronically.  | 
		||||||||||||||
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
  | 
			1. OMB No.  | 
			0560-NEW  | 
			2. Title of Clearance  | 
			General Program Administrartion Page 3  | 
		||||||||||
				  | 
			
				  | 
		|||||||||||||
				 3. 
  | 
			
				 4. 
  | 
			
				 5. 
  | 
			
				 6. 
  | 
			
				 7. 
  | 
			Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)  | 
		|||||||||
Description (Title of Form, Report or Record)  | 
			Report 
  | 
			Record
  | 
			Form No. 
  | 
			Regulation Part/Sec.  | 
			
				 8. 
  | 
			
				 9. 
  | 
			
				 10. 
  | 
			
				 11. 
  | 
			12. Total Burden Hours  | 
		|||||
				  | 
			
				  | 
			
				  | 
			
				  | 
			
				  | 
			No. of Respondents  | 
			No. of Reports Filed Per Person  | 
			Total Annual Responses  | 
			
				 Average Time to Respond 
  | 
			
				 Exempt  | 
			Non-Exempt  | 
		||||
FBP - Income and Expense - divorced spouse ROL  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			766.102 (f)  | 
			150  | 
			1  | 
			150  | 
			30  | 
			
  | 
			75  | 
		||||
FBP - Income and Expense - post-deferral request  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			766.109 (a)  | 
			807  | 
			1  | 
			807  | 
			30  | 
			
  | 
			404  | 
		||||
FBP - Income and Expense - homestead protection request  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			766.151 (a) & (b)  | 
			21  | 
			1  | 
			21  | 
			30  | 
			
  | 
			11  | 
		||||
FBP - Income and Expense - shared appreciation request  | 
			
  | 
			
  | 
			FSA-2038 (Farmer)  | 
			766.204  | 
			54  | 
			1  | 
			54  | 
			90  | 
			
  | 
			81  | 
		||||
FBP – summary of year’s business  | 
			
				  | 
			
				  | 
			FSA-2039 (Farmer)  | 
			
				  | 
			1,800  | 
			1  | 
			1,800  | 
			20  | 
			
				  | 
			594  | 
		||||
Deposit agreement – loan making and RE proceeds - applicant  | 
			
				  | 
			
				  | 
			FSA-2140 (Farmer)  | 
			761.51(a) 765.352  | 
			750*  | 
			1  | 
			750  | 
			10  | 
			
  | 
			127  | 
		||||
Deposit agreement – loan making and RE proceeds – lender  | 
			
  | 
			
  | 
			FSA-2140 (Business)  | 
			761.51(a) 765.352  | 
			565*  | 
			1.327  | 
			750  | 
			10  | 
			
				  | 
			127  | 
		||||
Interest-bearing deposit agreement – applicant  | 
			
				  | 
			
				  | 
			FSA-2141 (Farmer)  | 
			761.53 765.352  | 
			10  | 
			1  | 
			10  | 
			10  | 
			
				  | 
			2  | 
		||||
Interest-bearing deposit agreement – lender  | 
			
				  | 
			
				  | 
			FSA-2141 (Business)  | 
			761.53 765.352  | 
			10  | 
			1  | 
			10  | 
			10  | 
			
				  | 
			2  | 
		||||
Development plan  | 
			
  | 
			
  | 
			FSA-2150 (Farmer)  | 
			761.10(b) 765.205  | 
			1,317  | 
			1  | 
			1,317  | 
			15  | 
			
				  | 
			329  | 
		||||
Release by claimants  | 
			
  | 
			
  | 
			FSA-2153 (Business)  | 
			761.10(f)  | 
			345*  | 
			1  | 
			345  | 
			15  | 
			
				  | 
			86  | 
		||||
Release by contractor  | 
			
  | 
			
  | 
			FSA-2154 (Business)  | 
			761.10(f)  | 
			1,367*  | 
			1  | 
			1,367  | 
			15  | 
			
				  | 
			342  | 
		||||
Applicant/borrower obtains FSA 2153/FSA 2154  | 
			
  | 
			
  | 
			FSA-2153 FSA-2154 (Farmer)  | 
			761.10(f)  | 
			467  | 
			3.6  | 
			1,712  | 
			30  | 
			
				  | 
			856  | 
		||||
Tech. data, tests, engineering evaluation, certif. of comp.  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.10(c) & (d)  | 
			1,151  | 
			1  | 
			1,151  | 
			30  | 
			
				  | 
			576  | 
		||||
Written certification of inspection  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.10(e)  | 
			540  | 
			1  | 
			540  | 
			15  | 
			
				  | 
			135  | 
		||||
Surety requirement  | 
			
  | 
			
  | 
			Non-form (Business)  | 
			761.10(g)  | 
			25  | 
			1  | 
			25  | 
			10  | 
			
				  | 
			4  | 
		||||
SUBTOTAL   | 
			3,027  | 
			
  | 
			10,809  | 
			
				  | 
			
  | 
			3,751  | 
		||||||||
This form is available electronically.  | 
		||||||||||||||
FSA-85-1 U.S. Department of Agriculture (03-26-03) Farm Service Agency 
 Reporting and Recordkeeping Requirements 
 
 
 
  | 
			1. OMB No.  | 
			0560-NEW  | 
			2. Title of Clearance  | 
			General Program Administration Page 4  | 
		||||||||||
				  | 
			
				  | 
		|||||||||||||
				 3. 
  | 
			
				 4. 
  | 
			
				 5. 
  | 
			
				 6. 
  | 
			
				 7. 
  | 
			Annual Burden on the Public (Col. 8 x 9=10 and Col. 10 x 11=12)  | 
		|||||||||
Description (Title of Form, Report or Record)  | 
			Report 
  | 
			Record
  | 
			Form No. 
  | 
			Regulation Part/Sec.  | 
			
				 8. 
  | 
			
				 9. 
  | 
			
				 10. 
  | 
			
				 11. 
  | 
			12. Total Burden Hours  | 
		|||||
				  | 
			
				  | 
			
				  | 
			
				  | 
			
				  | 
			No. of Respondents  | 
			No. of Reports Filed Per Person  | 
			Total Annual Responses  | 
			
				 Average Time to Respond 
  | 
			
				 Exempt  | 
			Non-Exempt  | 
		||||
Revised surety requirement for change in development plan  | 
			
  | 
			
  | 
			Non-form (Business)  | 
			761.10(h)  | 
			25  | 
			1  | 
			25  | 
			10  | 
			
				  | 
			4  | 
		||||
Request to change planned development  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.10(h)  | 
			72  | 
			1  | 
			72  | 
			15  | 
			
				  | 
			18  | 
		||||
Pledge of collateral when SBA balance exceeds $100,000  | 
			
  | 
			
  | 
			Non-form (Business)  | 
			761.51(e)  | 
			10*  | 
			1  | 
			10  | 
			10  | 
			
				  | 
			2  | 
		||||
Request to release collateral when SBA balance <$100,000  | 
			
  | 
			
  | 
			Non-form (Business)  | 
			761.51(e)(2)  | 
			10*  | 
			1  | 
			10  | 
			10  | 
			
				  | 
			2  | 
		||||
withdrawal of funds from SBA  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.54(a) & (b)  | 
			750  | 
			5  | 
			3,750  | 
			10  | 
			
				  | 
			638  | 
		||||
Copies of income tax returns  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761, 764, 766  | 
			6,825  | 
			1  | 
			6,825  | 
			15  | 
			
				  | 
			1,706  | 
		||||
Development of loan assessment  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.103 (a) & (b)  | 
			5,531*  | 
			1  | 
			5,531  | 
			30  | 
			
				  | 
			2,766  | 
		||||
Assessment update  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.103 (c) & (d)  | 
			16,450  | 
			1  | 
			16,450  | 
			10  | 
			
				  | 
			2,797  | 
		||||
Evidence of premium price for commodities  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.104 (d)  | 
			1,645  | 
			1  | 
			1,645  | 
			10  | 
			
				  | 
			280  | 
		||||
Actual income, production, expenses, and financial records  | 
			
  | 
			
  | 
			Non-form (Farmer)  | 
			761.105 (b)  | 
			37,699  | 
			1  | 
			37,699  | 
			60  | 
			
				  | 
			37,699  | 
		||||
Travel time  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			40,424  | 
		||||
				  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
		||||
* Denotes unduplicated respondents  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
		||||
(e) denotes electronic submission of collection  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
		||||
				  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
			
  | 
		||||
SUBTOTAL  | 
			
  | 
			
  | 
			
  | 
			
  | 
			5,551*  | 
			
  | 
			72,017  | 
			
  | 
			
  | 
			86,338  | 
		||||
TOTALS   | 
			100,087*  | 
			
  | 
			256,214  | 
			
				  | 
			
  | 
			287,188  | 
		||||||||
| File Type | application/msword | 
| File Title | This form is available electronically | 
| Author | USDA-MDIOL00000DG8C | 
| Last Modified By | Maryann.ball | 
| File Modified | 2007-07-17 | 
| File Created | 2007-07-17 |