Information Collection

Annual Certification Requirements (part 12 And 718), Assignment Of Payments (part 1404), And Power Of Attorney (part 720) Addendum

IC 99979 under ICR 199502-0560-001 · OMB 0560-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0004 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	ANNUAL CERTIFICATION REQUIREMENTS (PART 12 AND 718), ASSIGNMENT OF PAYMENTS (PART 1404), AND POWER OF ATTORNEY (PART 720) ADDENDUM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	AD-1026B	No	No
Form	AD-1026C	No	No
Form	AD-1026U	No	No
Form	CCC-502U	No	No
Form	AD-1026	No	No
Form	CCC-1068	No	No
Form	CCC-1069	No	No
Form	CCC-1026A-SUPPL	No	No
Form	ASCS-578	No	No
Form	ASCS-492	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,298,538	7,298,538	0
Annual IC Time Burden (Hours)	2,946,473	921,750	2,024,723
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.