2017 WHIP and QLA

2017 Wildfires and Hurricanes Indemnity Program (2017 WHIP) (Florida Citrus Block Grant) and Quality Loss Adjustment (QLA) Program

Documents and Forms

Document Name Document Type
Form FSA-891 2017 WHIP and QLA Form
Exhibit 6 - Completing FSA-891 Instructions.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Instruction
FSA-895 instruction.pdf Instruction
FSA-891 CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT FSA0891 25XXXXV02.docx forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home Form
FSA-895 CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT FSA0895_25XXXXV02.docx Form
FSA-894 Wildfire and Hurricanes Indemnity Program + Application FSA0894.docx Form

Information Collection (IC) Details

IC Title:	2017 WHIP and QLA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	FSA-891	CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT	FSA0891 25XXXXV02.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	Yes	No	Fillable Fileable
Instruction			Exhibit 6 - Completing FSA-891 Instructions.docx	http://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home	No		Printable Only
Form	FSA-895	CROP INSURANCE AND/OR NAP COVERAGE AGREEMENT	FSA0895_25XXXXV02.docx		Yes	Yes	Fillable Fileable
Instruction			FSA-895 instruction.pdf		Yes	No	Printable Only
Form	FSA-894	Wildfire and Hurricanes Indemnity Program + Application	FSA0894.docx		Yes	No	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,592	Number of Respondents for Small Entity: 503

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 10 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,592	-231,508	236,100
Annual IC Time Burden (Hours)	383	-184,168	184,551
Annual IC Cost Burden (Dollars)	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.