OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Request for FSA County Committee Ballot and Declaration of Eligibility to Vote

ICR 199710-0560-005 · OMB 0560-0181 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
1469 Request for FSA County Committee Ballot and Declaration of Eligibility to Vote Form Migrated
ICR Details
0560-0181 199710-0560-005
Historical Active
USDA/FSA
Request for FSA County Committee Ballot and Declaration of Eligibility to Vote
New collection (Request for a new OMB Control Number)   No
Emergency 10/31/1997
Approved without change 11/03/1997
Retrieve Notice of Action (NOA) 10/29/1997
This information collection is approved until 4/98, with the requirement that the Agency includes in their future submissions a more thorough description of the information collected in the application form. Specifically, the purpose of collecting information on an applicant's interest in a farm or ranch in terms of voter eligibility should be discussed in the supporting statement. The Agency has also agreed to remove the request for SSN from the application form.
  Inventory as of this Action Requested Previously Approved
04/30/1998 04/30/1998
5,000 0 0
400 0 0
0 0 0
This information collection is necessary to provide the voter registration form to minority, female, and other under-represented groups to record the name and address of the eligible voters who receive committee election ballots.
None
None
No
1
IC Title Form No. Form Name
Request for FSA County Committee Ballot and Declaration of Eligibility to Vote FSA-587
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 400 0 0 400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/29/1997