Information Collection

Hawaii Crop or Livestock Loss Survey

IC 235623 under ICR 201902-0535-003 · OMB 0535-0264.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0264 can be found here:

Documents and Forms

Document Name Document Type
Form QID Hawaii Crop or Livestock Loss Survey Form and Instruction
Non_Response_Reply.docx Other-Non-response statement
QID Hawaii Crop or Livestock Loss Survey 0264 - 2018 Hawaii Crop or Livestock Loss Survey - March 12, 2019.pdf Form and Instruction
0264 - Hawaii Crop or Livestock Loss Survey - SSA - 2019Apr08.docx Supporting Statement A - Hawaii Crop or Livestock Loss Survey IC Document
0264 - Hawaii Crop or Livestock Loss Survey - SSB - 2019Apr08.docx Supporting Statement B - Hawaii Crop or Livestock Loss Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Hawaii Crop or Livestock Loss Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	QID	Hawaii Crop or Livestock Loss Survey	0264 - 2018 Hawaii Crop or Livestock Loss Survey - March 12, 2019.pdf		Yes	Yes	Fillable Fileable
Other-Non-response statement			Non_Response_Reply.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title: SORN	FR Citation: 74 FR 79

Number of Respondents: 1,000	Number of Respondents for Small Entity: 850

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	213	213
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A - Hawaii Crop or Livestock Loss Survey	0264 - Hawaii Crop or Livestock Loss Survey - SSA - 2019Apr08.docx	04/09/2019
Supporting Statement B - Hawaii Crop or Livestock Loss Survey	0264 - Hawaii Crop or Livestock Loss Survey - SSB - 2019Apr08.docx	04/09/2019

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