Information Collection

Representation for CCC and FSA Loans and Authorization to File a Financing Statement

IC 184466 under ICR 201402-0560-006 · OMB 0560-0215.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0560-0215 can be found here:

Documents and Forms

Document Name Document Type
Form CCC-10 Representation for CCC and FSA Loans and Authorization to File a Financing Statement Form
Instructions For CCC.doc forms.sc.egov.usda.gov/eforms/formsearchservlet Instruction
CCC-10 Representation for CCC and FSA Loans and Authorization t CCC0010.pdf forms.sc.egov.usda.gov/eforms/mainservlet Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	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	CCC-10	Representation for CCC and FSA Loans and Authorization to File a Financing Statement	CCC0010.pdf	http://forms.sc.egov.usda.gov/eforms/mainservlet	Yes	No	Fillable Fileable
Instruction			Instructions For CCC.doc	http://forms.sc.egov.usda.gov/eforms/formsearchservlet	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,074	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 4 %

	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	1,074	-26,676	27,750
Annual IC Time Burden (Hours)	1,163	-15,015	16,178
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.